Organization Active NPI

Alconar Restoration Ministries, Inc.

  • Substance Abuse Rehabilitation Facility
  • Jay, FL
National Provider Identifier
1659531689
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
FAITH BASE Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.