NPIMap

Organization Active NPI

Ebh Acquisition Subsidiary, Inc

  • Substance Abuse Rehabilitation Facility
  • Ft Lauderdale, FL
National Provider Identifier
1669758355
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EBH ACQUISITION SUBSIDIARY, INC
Practice address
3100 E Commercial Blvd
Ft Lauderdale, FL 33308-4327
Phone
(954) 200-8308
NPI assigned
Oct 26, 2011
Organization subpart
Yes
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David A Sack, M.D.
Title
President
Phone
(562) 741-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3100 E Commercial Blvd
Ft Lauderdale, FL 33308-4327

Mailing address

3100 E Commercial Blvd
Ft Lauderdale, FL 33308-4327
Phone (954) 200-8308

National Provider Directory

National Provider Directory
Tax ID family
Ebh Acquisition Subsidiary5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1669758355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "954-200-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "954-200-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH ACQUISITION SUBSIDIARY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-741-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.