NPIMap

Organization Active NPI

Shores Treatment and Recovery Service LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
National Provider Identifier
1326485475
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
SHORES TREATMENT AND RECOVERY SERVICE LLC
Practice address
8493 S US Highway 1
Unit 14
Port St Lucie, FL 34952-3360
Phone
(626) 797-9977
Fax
(626) 844-2977
NPI assigned
May 30, 2013
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Nicholas Marino
Title
Owner/Ceo
Phone
(626) 797-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

8493 S US Highway 1
Unit 14
Port St Lucie, FL 34952-3360

Mailing address

8493 S US Highway 1
Unit 14
Port St Lucie, FL 34952-3360
Phone (626) 797-9977

National Provider Directory

National Provider Directory
Tax ID family
Shores Treatment and Recovery Service LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8493 S US Highway 1
Unit 14
Port St Lucie, FL 34952

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1326485475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8493 S US HIGHWAY 1",
            "address_2": "UNIT 14",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8493 S US HIGHWAY 1",
            "address_2": "UNIT 14",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES TREATMENT AND RECOVERY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-797-9977"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.