Active NPI
Ocean Addiction Recovery Services
- Substance Abuse Rehabilitation Facility
- Vero Beach, FL
National Provider Identifier
1295127900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 1931AD043001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.