Organization Active NPI

Cornerstone Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • Pompano Beach, FL
National Provider Identifier
1760816706
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Aug 27, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.