ANN STORCK CENTER, INC.
NPI 1730229212
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Lauderdale, FL

Q: What is Ann Storck Center, Inc.'s NPI number?

The NPI number for Ann Storck Center, Inc. is 1730229212. It was assigned to this organization in the NPPES registry on February 7, 2007.

Q: What is Ann Storck Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since February 07, 2007CLIA 10D0932954 · Waiver

1790 SW 43RD WAY, FORT LAUDERDALE, FL 33317(954) 584-8000(954) 321-8863 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 11, 2021, Mar 5, 2018, Jan 17, 2018 and 8 more (11 updates tracked since 2016).

On this page

About Ann Storck Center, Inc. NPPES

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

ANN STORCK CENTER, INC. (NPI 1730229212) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Lauderdale, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Tonita Gregory, Director Of Accounting, as its authorized official.

NPPES Registry Identity

NPI1730229212

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameANN STORCK CENTER, INC.

Location Address1790 SW 43RD WAYFort Lauderdale, FL 33317-5701

Mailing Address1790 Sw 43rd WayFort Lauderdale, FL 33317-5701 · (954) 584-8000 · Fax (954) 321-8863

Phone(954) 584-8000

Fax(954) 321-8863

Organization SubpartNo

Authorized OfficialTonita GregoryDirector Of Accounting · (954) 584-8000

Enumeration DateFebruary 7, 2007

Last NPPES UpdateFebruary 11, 202111 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ NPI 1730229212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

1790 SW 43RD WAY, Fort Lauderdale, FL 33317

Open in Google Maps ↗

Other Identifiers 4

Medicaid028521800FL

Medicaid019035000FL

Medicaid028037201FL

Medicaid024991296FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0932954

Ann Storck Center Inc · Fort Lauderdale, FL

Active · expires Sep 2, 2027

CLIA Number10D0932954

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateSeptember 3, 2025

Certificate Expiration DateSeptember 2, 2027

Laboratory DirectorHernando Chong MD

Laboratory Phone(954) 584-8000

Laboratory LocationAnn Storck Center Inc1790 SW 43rd Way, Fort Lauderdale, FL 33317

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA JANINE DAVIS BCBA-D

Behavior Analyst