Evoke Coconut Creek LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

EVOKE COCONUT CREEK LLC

Practice address

3920 NW 43Rd St
Coconut Creek, FL 33073-3462

Phone

(954) 993-2040

Fax

(954) 990-6305

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Sherita C Chang, MS

Title

Coo

Phone

(954) 993-2040

Specialties & licenses 4

Addresses

Tax ID family

Evoke Coconut Creek LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Evoke Coconut Creek LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Margate, FL
  • NPI 1073381810
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Evoke Coconut Creek LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Margate, FL
  • NPI 1073381810
  NPPES parent name

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1972276699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 NW 43RD ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733462",
            "telephone_number": "954-993-2040",
            "fax_number": "954-990-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 NW 43RD ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733462",
            "telephone_number": "954-993-2040",
            "fax_number": "954-990-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7618 Margate Blvd",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330633352",
            "country_code": "US",
            "telephone_number": "954-228-1828 x405",
            "fax_number": "954-990-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOKE COCONUT CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-993-2040",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.