Organization Active NPI

Ocean Addiction Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Vero Beach, FL
National Provider Identifier
1295127900
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1931AD043001 Issued in FL
Legal business name
OCEAN ADDICTION RECOVERY SERVICES
Practice address
1705 19TH PL Ste E2
Vero Beach, FL 32960-0688
Phone
(561) 404-5872
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Angela Iacullo
Title
Billing Director
Phone
(561) 404-5872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1931AD043001 FL Primary

Addresses

Primary practice location

1705 19TH PL Ste E2
Vero Beach, FL 32960-0688

Mailing address

1705 19TH PL Ste E2
Vero Beach, FL 32960-0688
Phone (561) 404-5872

National Provider Directory

National Provider Directory

Locations

1705 19th Pl
Ste E2
Vero Beach, FL 32960
Phone (727) 257-5995

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1295127900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 19TH PL STE E2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600688",
            "telephone_number": "561-404-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 19TH PL STE E2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600688",
            "telephone_number": "561-404-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN ADDICTION RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "IACULLO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "561-404-5872"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1931AD043001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.