Organization Active NPI

Florida Coast Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Sunrise, FL
National Provider Identifier
1699011601
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FLORIDA COAST RECOVERY, LLC
Practice address
1060 Sunset Strip
Suite a
Sunrise, FL 33313
Phone
(954) 990-7101
Fax
(954) 990-7106
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Adel Elias
Title
Ceo
Phone
(954) 226-3103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Substance Abuse Rehabilitation Facility 324500000X FL Primary

Addresses

Primary practice location

1060 Sunset Strip
Suite a
Sunrise, FL 33313

Mailing address

PO Box 266394
Weston, FL 33326-6394
Phone (954) 990-7101

National Provider Directory

National Provider Directory
Tax ID family
Amity Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1060 Sunset Strip
Ste A
Sunrise, FL 33313
Phone (954) 990-7101

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1699011601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266394",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333266394",
            "telephone_number": "954-990-7101",
            "fax_number": "954-990-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SUNSET STRIP",
            "address_2": "SUITE A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-990-7101",
            "fax_number": "954-990-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA COAST RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-226-3103"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.