Unknown Individual – Mental Illness Community Based Residential Treatment Facility, NPI 1699074138

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Mental Illness Community Based Residential Treatment Facility. They hold a License No. ========= (FL). The NPI Number for Unknown Individual is 1699074138

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699074138
Phone
(954) 587-1008
Address
3521 W BROWARD BLVD
Deactivation Date
7 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3521 W BROWARD BLVD

    FORT LAUDERDALE, FL 333121048

    Phone: (954) 587-1008

    Fax: (954) 587-0080

    Type: Mailing

  • 7156 COLONY CLUB DR APT 207

    LAKE WORTH, FL 334637832

    Phone: (561) 536-6135

    Fax: (954) 587-0080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33312)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1699074138.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Mental Illness Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Fort Lauderdale, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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