Active NPI
Cornerstone Recovery Inc.
- Substance Abuse Rehabilitation Facility
- Pompano Beach, FL
National Provider Identifier
1760816706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CORNERSTONE RECOVERY INC.
- Practice address
- 4130 NE 2ND Ave
Pompano Beach, FL 33064-3508 - Phone
- (954) 865-4967
- NPI assigned
- Aug 27, 2013
- 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. Anthony Smith Sr., C.A.C
- Title
- Ceo
- Phone
- (954) 865-4967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | FL | Primary |
Addresses
Primary practice location
4130 NE 2ND Ave
Pompano Beach, FL 33064-3508
Mailing address
2720 South Oakland Forest Drive
803
Oakland Park, FL 33309
Phone (954) 865-4967
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377561600000",
"number": "1760816706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SOUTH OAKLAND FOREST DRIVE",
"address_2": "803",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-865-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 NE 2ND AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643508",
"telephone_number": "954-865-4967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE RECOVERY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-865-4967",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "C.A.C"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.