Organization Active NPI

Gracious Care Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1902158025
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GRACIOUS CARE RECOVERY
Practice address
635 SE 10TH St Ste B
Deerfield Beach, FL 33441-5607
Phone
(754) 201-2265
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Jose Flores
Title
Account Specialist
Phone
(754) 201-2265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

635 SE 10TH St Ste B
Deerfield Beach, FL 33441-5607

Mailing address

635 SE 10TH St Ste B
Deerfield Beach, FL 33441-5607
Phone (754) 201-2265

National Provider Directory

National Provider Directory

Locations

635 SE 10th St
Ste B
Deerfield Beach, FL 33441
Phone (754) 201-2265

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1902158025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SE 10TH ST STE B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415607",
            "telephone_number": "754-201-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SE 10TH ST STE B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415607",
            "telephone_number": "754-201-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS CARE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "754-201-2265"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.