Active NPI
Alconar Restoration Ministries, Inc.
- Substance Abuse Rehabilitation Facility
- Jay, FL
National Provider Identifier
1659531689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- FAITH BASE
- Legal business name
- ALCONAR RESTORATION MINISTRIES, INC.
- Practice address
- 1400 Bell Creek Rd
Jay, FL 32565-9775 - Phone
- (850) 995-7317
- Fax
- (850) 995-7318
- NPI assigned
- Jun 12, 2008
- Last updated
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John R Hammons
- Title
- Vice-President
- Phone
- (850) 995-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | FAITH BASE | FL | Primary |
Addresses
Primary practice location
1400 Bell Creek Rd
Jay, FL 32565-9775
Mailing address
4286 Woodbine Rd
Ste: a&B
Pace, FL 32571-8782
Phone (850) 995-0211
National Provider Directory
National Provider DirectoryLocations
4286 Woodbine Rd
Ste Ab
Pace, FL 32571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1659531689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4286 WOODBINE RD",
"address_2": "STE: A&B",
"city": "PACE",
"state": "FL",
"postal_code": "325718782",
"telephone_number": "850-995-0211",
"fax_number": "850-995-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BELL CREEK RD",
"city": "JAY",
"state": "FL",
"postal_code": "325659775",
"telephone_number": "850-995-7317",
"fax_number": "850-995-7318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALCONAR RESTORATION MINISTRIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "HAMMONS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "850-995-0211",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": "FAITH BASE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.