OrganizationActive
Foundation Medical Center, LLC
NPI 1124538996 · Substance Use Disorder Rehabilitation Clinic/Center · Coral Springs, FL
Provider details
- NPI number
- 1124538996
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evan Kaiser, Manager(954) 272-4072
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 Nw 101st Ln Ste 101
Coral Springs, FL 33065
Phone: (561) 674-2696
Fax: (561) 370-7899
Street-level locationGet directions
Mailing address
3000 Nw 101st Ln Ste 101
Coral Springs, FL 33065-3930
Additional practice locations (1)
- 3000 Nw 101st Ln Ste 101Coral Springs, FL 33065-3930Phone: (954) 272-4072Fax: (954) 255-9553
Registry dates
- Enumerated
- 2017-10-06
- Last updated
- 2019-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.