NPIMap

Organization Active NPI

Lightshare Behavioral Wellness and Recovery

  • Special Hospital
  • Sarasota, FL
National Provider Identifier
1285204396
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY
Practice address
1451 10TH St
Sarasota, FL 34236-4048
Phone
(941) 366-5333
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Shawndra Robey
Title
Ceo
Phone
(941) 366-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

1451 10TH St
Sarasota, FL 34236-4048

Mailing address

4579 Northgate CT
Sarasota, FL 34234-2124
Phone (941) 366-5333

Other identifiers 1

IdentifierTypeStateIssuer
109379800MedicaidFL

Other names 1

  • FIRST STEP OF SARASOTA, INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
First Step of Sarasota Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1285204396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 NORTHGATE CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342342124",
            "telephone_number": "941-366-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 10TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364048",
            "telephone_number": "941-366-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ROBEY",
        "authorized_official_first_name": "SHAWNDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-366-5333"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109379800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST STEP OF SARASOTA, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.