Beaches Recovery Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEACHES RECOVERY SERVICES LLC

Practice address

75 12TH St S
Jacksonville Beach, FL 32250-3422

Phone

(904) 685-9083

Fax

(904) 485-8427

NPI assigned

Mar 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Darcy, MA, CAP

Title

Compliance Director

Phone

(575) 779-2456

Specialties & licenses 3

Addresses

Tax ID family

Beaches Recovery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beaches Recovery Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1538562319
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1073907937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 12TH ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503422",
            "telephone_number": "904-685-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 12TH ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503422",
            "telephone_number": "904-685-9083",
            "fax_number": "904-485-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-05-16",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "DARCY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "575-779-2456",
        "authorized_official_credential": "MA, CAP"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaches Healthcare, P.a.
• Beaches Nature Therapy LLC
• Beaches Neurology Clinic
• Beaches Open MRI, LLC
• Beaches Oral Maxillofacial Surgery, PLLC
• Beaches Therapy LLC
• Beachside Primary Care LLC
• Beaded Star Recovery, LLC
• Beaded Star Recovery,LLC
• Delilah Lynn Beall, PT, DPT

• Multi-Specialty Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.