THE SOURCE FL (NPI# 1083111827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083111827 |
| Entity Type | Organization |
| Organization Name | THE SOURCE FL |
| Practice Address |
1730 E Commercial Blvd Oakland Park FL 33334-5721 |
| Practice Telephone | 9542882555 |
| Mailing Telephone | 9542882555 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MR. MARK KORCOK (PRESIDENT) |
| Authorized Official Telephone | 9542882555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
| Street Address |
1730 E COMMERCIAL BLVD |
| City | OAKLAND PARK |
| State | FL |
| Zip Code | 33334-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215784 | The Source Fl Professional Services, LLC | General Practice | 1730 E Commercial Blvd, Oakland Park, FL 33334-5721 | 2019-09-28 |
| 1679124879 | Addictions Behavioral Health Center of America Professional Group, LLC | General Practice | 1730 E Commercial Blvd, Oakland Park, FL 33334-5721 | 2019-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245755644 | Fusion Health & Wellness LLC | Counselor | 1164 E Oakland Park Blvd Ste 102, Oakland Park, FL 33334 | 2017-08-07 |
| 1376064063 | The Senior Spot | Custodial Care Facility | 410 E Oakland Park Blvd., Wilton Manors, FL 33334 | 2017-07-03 |
| 1952831810 | Andrew Morgan | Counselor | 450 Ne 44th Street, Oakland Park, FL 33334 | 2017-06-14 |
| 1033561907 | Trevor Howe Hart | Dentist | 3425 N Dixie Hwy, Oakland Park, FL 33334 | 2016-07-05 |
| 1548646698 | Shelly Vilsaint | Massage Therapist | 120 E. Oakland Park Blvd, Suite 208, Fort Lauderdale, FL 33334 | 2015-07-30 |
| 1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
| 1235529116 | Rodolfo Herrera Barter | General Practice | 735 E Oakland Park Blvd, Oakland Park, FL 33334 | 2015-01-29 |
| 1639573629 | Garrick Edwards | Health Educator | 1501 Ne 62nd Street, Ft. Lauderdale, FL 33334 | 2014-10-20 |
| 1568877967 | Michael James Breen Jr. | Occupational Therapist | 1000 Corporate Dr #280, Centra Healthcare, Fort Lauderdale, FL 33334 | 2014-06-24 |
| 1144649161 | Passage Health International | Case Management | 701 E Commercial Blvd Fl 4, Oakland Park, FL 33334 | 2014-04-08 |
| Find all providers in zip 33334 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881136737 | Modern Recovery & Wellness, LLC | Substance Abuse Rehabilitation Facility | 3215 Nw 10th Ter Ste 209b, Oakland Park, FL 33309-5934 | 2016-11-09 |
| 1295107381 | Hope & Grace Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 3411 Nw 9th Ave # 703704, Oakland Park, FL 33309-5946 | 2015-10-28 |
| 1386034692 | Helping Hands Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4101 N Andrews Ave Ste 209, Oakland Park, FL 33309-4775 | 2015-01-26 |
| 1093053043 | Gateway To Wellness LLC | Substance Abuse Rehabilitation Facility | 3881 Ne 3rd Ave, Oakland Park, FL 33334-1259 | 2013-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | OAKLAND PARK |
| Zip Code | 33334 |
Please comment or provide details below to improve the information on THE SOURCE FL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.