Organization Active NPI

Samba Recovery at Savannah

  • Substance Abuse Rehabilitation Facility
  • Savannah, GA
National Provider Identifier
1083479398
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAMBA RECOVERY AT SAVANNAH
Practice address
609 E 69TH St
Savannah, GA 31405-4713
Phone
(732) 642-1610
NPI assigned
Feb 15, 2024
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Joshua Bamberger
Title
Ceo
Phone
(732) 642-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

609 E 69TH St
Savannah, GA 31405-4713

Mailing address

250 Cedarbridge Ave Ste 290
Lakewood, NJ 08701-4236
Phone (732) 642-1610

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2300410Samba Recovery at Savannah609 East 69TH Street, Savannah, GA 31405Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

609 E 69th St
Savannah, GA 31405
Phone (732) 642-1610

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1083479398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CEDARBRIDGE AVE STE 290",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014236",
            "telephone_number": "732-642-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E 69TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054713",
            "telephone_number": "732-642-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBA RECOVERY AT SAVANNAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BAMBERGER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-642-1610"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.