ANN STORCK CENTER INC. NPI 1730229212

NPI Information

NPI: 1730229212
Provider Name: ANN STORCK CENTER, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
CLIA Number: 10D0932954
Address: 1790 SW 43RD WAY
FORT LAUDERDALE, FL
ZIP 33317
Phone: (954) 584-8000

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NPI Details

ANN STORCK CENTER, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Lauderdale, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ANN STORCK CENTER, INC. NPI is 1730229212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1790 SW 43RD WAY
FORT LAUDERDALE, FL
ZIP 33317-701
Phone: (954) 584-8000
Fax: (954) 321-8863

The provider's authorized official is Tonita Gregory .
The authorized official title is Director Of Accounting and has the following contact phone number (954) 584-8000.

The CLIA number assigned to this NPI record is 10D0932954 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	225100000X	Physical Therapist		FLORIDA	No
2	2251P0200X	Physical Therapist	Pediatrics	FLORIDA	No
3	261QM1300X	Clinic/Center	Multi-Specialty	FLORIDA	No
4	261QP2000X	Clinic/Center	Physical Therapy	FLORIDA	No
5	261QR0400X	Clinic/Center	Rehabilitation	FLORIDA	No
6	225X00000X	Occupational Therapist		FLORIDA	No
7	225XP0200X	Occupational Therapist	Pediatrics	FLORIDA	No
8	235Z00000X	Speech-Language Pathologist		FLORIDA	No
9	251C00000X	Day Training, Developmentally Disabled Services		FLORIDA	No
10	261QH0100X	Clinic/Center	Health Service	FLORIDA	No
11	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		FLORIDA	Yes
12	103K00000X	Behavior Analyst			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	028521800	MEDICAID	FLORIDA
2	019035000	MEDICAID	FLORIDA
3	028037201	MEDICAID	FLORIDA
4	024991296	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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