Sacred Tides Concierge Nursing Services Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SACRED TIDES CONCIERGE NURSING SERVICES INC

Practice address

109 Eccles Rd
Fort Walton Beach, FL 32547-1913

Phone

(850) 543-1357

NPI assigned

Jun 2, 2025

Last updated

Jul 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Marie Young, RN

Title

Administrator

Phone

(850) 360-3600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1295628923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 8721",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "850-360-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ECCLES RD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471913",
            "telephone_number": "850-543-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED TIDES CONCIERGE NURSING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-360-3600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Clifford Rustmann, DO
• S a Levitus L C S W P a (Sheri a Levitus LCSW)
• Pierre St. Raymond Saal, MS
• George Dosdos Sacla, LMT
• Sacred Heart Home Healthcare, LLC (Sacred Heart Homemaker and Companion Service, LLC)
• Rachele Elizabeth Sage, BCBA
• Saint George Medical Center Inc
• Hannah Salvador
• Megan Salzlein, DMD
• Sam's Club Optical (Sam's Club Optical 30-6361)

• Nursing Care Agency in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.