MEDICARE: JC'S RECOVERY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1952719189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JC'S RECOVERY CENTER, LLC

Provider Business Mailing Address
First Line	:	1818 SHERIDAN ST., SUITE 205
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2113
Country	:	US
Telephone Number	:	754-703-5339
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 SHERIDAN ST
Second Line	:	SUITE 202
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2113
Country	:	US
Telephone Number	:	754-703-5339
Fax Number	:

Authorized Official
Title or Position	:	HR
Name	:	PATRICIA CHAROS
Credential	:
Telephone Number	:	954-270-8756

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	10/11/2023

Similar Medicare Providers

1114501533 — MEGAN POTTER LMHC
Practice Location Address:

1818 SHERIDAN ST STE 205
HOLLYWOOD, FL
33020-2113

Practice Phone: 954-589-2001
Practice Fax: 754-703-5354

1467778191 — ALLIANCE COMMUNITY HEALTH CENTER.INC
Practice Location Address:

1818 SHERIDAN ST , SUITE 202
HOLLYWOOD, FL
33020-2113

Practice Phone: 954-924-4564
Practice Fax: 954-924-6670

1336418698 — AMERICAN METABOLIC TESTING LABORATORIES
Practice Location Address:

1818 SHERIDAN ST , #102
HOLLYWOOD, FL
33020-2113

Practice Phone: 954-929-4814
Practice Fax:

1679981906 — ERNIE RICHARDSON MSW, CAP
Practice Location Address:

1818 SHERIDAN ST , SUITE 202
HOLLYWOOD, FL
33020-2113

Practice Phone: 754-703-5339
Practice Fax:

1154093714 — TMR MEDICAL GROUP
Practice Location Address:

1818 SHERIDAN ST STE 210
HOLLYWOOD, FL
33020-2113

Practice Phone: 561-704-6781
Practice Fax:

1235948381 — CAITLIN MOODY
Practice Location Address:

1818 SHERIDAN ST STE 205
HOLLYWOOD, FL
33020-2113

Practice Phone: 844-524-6873
Practice Fax:

Directions to “JC'S RECOVERY CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.