MID-ATLANTIC BUREAU OF RECOVERY AND SOBRIETY (NPI# 1659805828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659805828 |
Entity Type | Organization |
Organization Name | MID-ATLANTIC BUREAU OF RECOVERY AND SOBRIETY |
Practice Address |
3212 Se 7th St Pompano Beach FL 33062-6239 |
Practice Telephone | 9549427407 |
Mailing Telephone | 9549427407 |
Enumeration Date | 2017-04-14 |
Last Update Date | 2017-05-09 |
Authorized Official Name | JUDINE HITCHMON (DIRECTOR OF CLINICAL) |
Authorized Official Telephone | 2027798655 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
SW12345 | FL | Ambulatory Health Care Facilities |
N | 324500000X | Substance Abuse Rehabilitation Facility | SW12345 | FL | Residential Treatment Facilities |
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SW12345 | FL | Residential Treatment Facilities |
N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | SW12345 | FL | Residential Treatment Facilities |
N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
SW12345 | FL | Nursing & Custodial Care Facilities |
N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
SW12345 | FL | Nursing & Custodial Care Facilities |
Y | 251B00000X | Case Management | SW12345 | FL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | NON MEDICARE | 593641757 | 01 |
Street Address |
3212 SE 7TH ST |
City | POMPANO BEACH |
State | FL |
Zip Code | 33062-6239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
Find all providers in zip 33062 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952878290 | Community Wings Inc | Case Management | 351 S Cypress Rd Ste 315, Pompano Beach, FL 33060-7177 | 2018-10-24 |
1326478488 | Private Life Retirement Place, Inc | Case Management | 1451 Ne 30th St, Pompano Beach, FL 33064-6834 | 2013-11-26 |
1255691028 | Choices Network Systems, Inc | Case Management | 2300 Nw 6th St, Pompano Beach, FL 33069-2214 | 2012-05-25 |
1144471855 | Confirmation Sa Inc | Case Management | 128 E Mcnab Rd, Suite 128, Pompano Beach, FL 33060-9240 | 2008-10-01 |
1447617493 | Order My Steps Corp | Case Management | 1280 S Powerline Rd, 25 26, Pompano Beach, FL 33069-4339 | 2016-01-21 |
1326232174 | Family Medicine and Healthcare, P.a. | Case Management | 1990 N Federal Hwy, Suite C, Pompano Beach, FL 33062-1032 | 2007-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336113 | Health Sunshine Wellness Corp | Case Management | 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 | 2020-11-06 |
1821699216 | Eligibolt LLC | Case Management | 1457 E Bexley Park Dr, Delray Beach, FL 33445-3543 | 2020-11-03 |
1457951030 | Best Behavioral Health Case Management Services | Case Management | 753 Ne 79th St Unit Cu-2, Miami, FL 33138-4711 | 2020-10-31 |
1316547169 | Miguel F Perez Mba & Associates LLC | Case Management | 4995 Nw 72nd Ave Ste 400, Miami, FL 33166-5643 | 2020-10-30 |
1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
1831799030 | Sunset Case Management Service Corp | Case Management | 4238 Hollywood Blvd Ste 202, Hollywood, FL 33021-6600 | 2020-10-27 |
1306446612 | Sunrise Medical Wellness LLC | Case Management | 1761 W Hillsboro Blvd Ste 403, Deerfield Beach, FL 33442-1563 | 2020-10-27 |
1346849585 | Yasel Carballo Camero | Case Management | 5590 W 20th Ave Ste 400, Hialeah, FL 33016-7062 | 2020-10-20 |
1396344628 | Julio Cuellar | Case Management | 12905 Sw 42nd St Ste 209, Miami, FL 33175-2912 | 2020-10-19 |
1437757911 | Aristides Marcial Gomez | Case Management | 10135 Nw 127th St, Hialeah Gardens, FL 33018-7438 | 2020-10-15 |
Find all providers with the same taxonomy |
City | POMPANO BEACH |
Zip Code | 33062 |
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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.