Organization Active NPI

Broward Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Hollywood, FL
National Provider Identifier
1679061758
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BROWARD TREATMENT CENTER
Practice address
1101 S 21St Ave
Hollywood, FL 33020-6935
Phone
(954) 922-0522
Fax
(954) 922-0551
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Mr. Olaniyi Tabi
Title
Counselor
Phone
(954) 922-0522

Specialties & licenses 1

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

Addresses

Primary practice location

1101 S 21St Ave
Hollywood, FL 33020-6935

Mailing address

1101 S 21St Ave
Hollywood, FL 33020-6935
Phone (954) 922-0522

National Provider Directory

National Provider Directory

Locations

1101 S 21st Ave
Hollywood, FL 33020
Phone (954) 880-4222

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1679061758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206935",
            "telephone_number": "954-922-0522",
            "fax_number": "954-922-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206935",
            "telephone_number": "954-922-0522",
            "fax_number": "954-922-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "TABI",
        "authorized_official_first_name": "OLANIYI",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "954-922-0522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.