THE SOURCE FL – NPI #1083111827
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

THE SOURCE FL is a substance abuse rehabilitation facility located in OAKLAND PARK, FL. NPPES has assigned the NPI number 1083111827 to THE SOURCE FL on April 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Aug 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE SOURCE FL below.

NPI Profile for
THE SOURCE FL

NPI Number
1083111827
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE SOURCE FL
Primary location
1730 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334-5721
Phone: (954) 288-2555 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK KORCOK
PRESIDENT
Phone: (954) 288-2555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.