CROCKETT FOUNDATION INC
NPI 1184295123
Community/Behavioral Health in Fort Lauderdale, FL

Q: What is Crockett Foundation Inc's NPI number?

The NPI number for Crockett Foundation Inc is 1184295123. It was assigned to this organization in the NPPES registry on July 9, 2021.

Q: What is Crockett Foundation Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 09, 2021

401 SW 1ST AVE STE 102, FORT LAUDERDALE, FL 33301(754) 666-3928 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crockett Foundation Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROCKETT FOUNDATION INC (NPI 1184295123) is a healthcare organization registered as a community/behavioral health in Fort Lauderdale, Florida and active in the NPI registry since July 2021. The organization lists Regine Kanzki, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1184295123

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCROCKETT FOUNDATION INC

Location Address401 SW 1ST AVE STE 102Fort Lauderdale, FL 33301-2853

Mailing Address401 Sw 1st Ave Ste 102Fort Lauderdale, FL 33301-2853 · (754) 666-3928

Phone(754) 666-3928

Organization SubpartNo

Authorized OfficialRegine KanzkiVice President Of Operations · (954) 822-9370

Enumeration DateJuly 9, 2021

NPPES CertifiedJuly 9, 2021

✔ NPI 1184295123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

401 SW 1ST AVE STE 102, Fort Lauderdale, FL 33301

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crockett Foundation Inc's NPI number?

The NPI number for Crockett Foundation Inc is 1184295123. It was assigned to this organization in the NPPES registry on July 9, 2021.

Where is Crockett Foundation Inc located?

Crockett Foundation Inc is located at 401 SW 1st Ave Ste 102, Fort Lauderdale, FL 33301. The listed phone number is (754) 666-3928.

What is Crockett Foundation Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Crockett Foundation Inc was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.