BEACHSIDE DETOX LLC (NPI# 1598272098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598272098 |
Entity Type | Organization |
Organization Name | BEACHSIDE DETOX LLC |
Practice Address |
912 Avenue I Fort Pierce FL 34950-2237 |
Mailing Address |
300 S 6th St Fort Pierce FL 34950-4221 |
Practice Telephone | 7722521125 |
Practice Fax Number | 7724484029 |
Mailing Telephone | 7722521125 |
Mailing Fax Number | 7724484029 |
Enumeration Date | 2018-01-05 |
Last Update Date | 2018-01-05 |
Authorized Official Name | LINDA CARTER (BILLING MANAGER) |
Authorized Official Telephone | 7722521125 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | CERT-COMP-100147 | FL | Residential Treatment Facilities |
Street Address |
912 AVENUE I |
City | FORT PIERCE |
State | FL |
Zip Code | 34950-2237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699394635 | Desert Rose Detox LLC | Substance Abuse Rehabilitation Facility | 912 Avenue I, Fort Pierce, FL 34950-2237 | 2020-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
Find all providers in zip 34950 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
1851886808 | A Road To Nirvana Inc | Substance Abuse Rehabilitation Facility | 3501 Orange Ave, Fort Pierce, FL 34947-3523 | 2018-06-22 |
1932571460 | Plant A Seed | Substance Abuse Rehabilitation Facility | 2021 Avenue D, Fort Pierce, FL 34950-2747 | 2015-10-23 |
1982748208 | Restoration Ministries, Inc. | Substance Abuse Rehabilitation Facility | 609 N 7th St, Fort Pierce, FL 34950-3109 | 2007-02-19 |
1942363072 | Choices Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 606 N Us Highway 1, Fort Pierce, FL 34950-3096 | 2006-12-19 |
1538222187 | Florida Center for Recovery | Substance Abuse Rehabilitation Facility | 3451 W Midway Rd, Fort Pierce, FL 34981-4960 | 2006-12-18 |
1699394635 | Desert Rose Detox LLC | Substance Abuse Rehabilitation Facility | 912 Avenue I, Fort Pierce, FL 34950-2237 | 2020-04-09 |
1205209004 | The Haven Detox Ft. Pierce, LLC | Substance Abuse Rehabilitation Facility | 4707 Oleander Ave, Fort Pierce, FL 34982-4209 | 2015-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
Find all providers with the same taxonomy |
City | FORT PIERCE |
Zip Code | 34950 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.