The Shores Treatment and Recovery Service, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THE SHORES TREATMENT AND RECOVERY SERVICE, LLC

Practice address

8493 S US Highway 1
Suite 14
Port St Lucie, FL 34952-3360

Phone

(772) 800-3990

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Lauren Haun

Title

Ceo

Phone

(772) 800-3990

Specialties & licenses 1

Addresses

Tax ID family

Shores Treatment and Recovery Service LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Shores Treatment and Recovery Service LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
  • NPI 1326485475
  NPD tax ID
• The Shores Treatment & Recovery Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Port Saint Lucie, FL
  • NPI 1588098495
  NPD tax ID
• The Shores Treatment and Recovery

  • Addiction (Substance Use Disorder) Psychologist
  • Port Saint Lucie, FL
  • NPI 1619356888
  NPD tax ID

Locations

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1083074835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8493 S US HIGHWAY 1",
            "address_2": "SUITE 14",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8493 S US HIGHWAY 1",
            "address_2": "SUITE 14",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "772-800-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHORES TREATMENT AND RECOVERY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "HAUN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-800-3990"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, 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 Mar 7, 2016; 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.