Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corebridge 17 Foundation, Inc

Organization Case Management Agency · NPI 1184506008

Corebridge 17 Foundation, Inc is a Case Management Agency in North Lauderdale, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6047 Kimberly Blvd Ste N
North Lauderdale, FL 33068-2820
Phone: (954) 592-5065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Case Management Agency Taxonomy 251B00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1184506008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manoushka Remogene — Executive Director · (954) 592-5065
NPI enumeratedJuly 22, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address6047 Kimberly Blvd Ste N, North Lauderdale, FL 33068-2820

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