FIRE FORGED RECOVERY, INC (NPI# 1427698638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427698638 |
| Entity Type | Organization |
| Organization Name | FIRE FORGED RECOVERY, INC |
| Practice Address |
2428 Nw 56th Ave Lauderhill FL 33313-3012 |
| Mailing Address |
Po Box 25976 Tamarac FL 33320-5976 |
| Practice Telephone | 7547770806 |
| Mailing Telephone | 7547770806 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | SONIA BAILEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5103253934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2428 NW 56TH AVE |
| City | LAUDERHILL |
| State | FL |
| Zip Code | 33313-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164053302 | Shango Husani | Peer Specialist | 2719 Hollywood Blvd Ste B208, Hollywood, FL 33020-4821 | 2020-01-27 |
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1639712078 | Josly Quintero | Peer Specialist | 99198 Overseas Hwy Ste 34&5, Key Largo, FL 33037-2437 | 2019-10-17 |
| 1275185993 | Ivanna Rebecca Pengelley | Peer Specialist | 2110 S Gadsden St, Tallahassee, FL 32301-5513 | 2019-07-12 |
| 1386128205 | Theresa E Henderson | Peer Specialist | 2257 Sandy Ct, Orange Park, FL 32073-5235 | 2018-09-17 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1861900763 | Billing Tech Solutions Corp | Peer Specialist | 10201 Falcon Pine Blvd Apt 208, Orlando, FL 32829-7368 | 2018-01-14 |
| 1184133407 | Cindy Witt | Peer Specialist | 804 3rd St Ste Ab, Neptune Beach, FL 32266-5040 | 2017-09-29 |
| 1649796574 | Robbie Nelson | Peer Specialist | 1817 Se 13th Pl, Gainesville, FL 32641-8395 | 2017-08-22 |
| 1629468376 | Mental Health America of Northeast Florida, Inc. | Peer Specialist | 4615 Philips Hwy Ste 300, Jacksonville, FL 32207-9506 | 2015-02-03 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERHILL |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on FIRE FORGED RECOVERY, INC.
| 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.