Organization Active NPI

River Oaks Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Riverview, FL
National Provider Identifier
1366826596
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1002043 Issued in FL
Legal business name
RIVER OAKS TREATMENT CENTER, LLC
Practice address
12018 Boyette Rd
Riverview, FL 33569
Phone
(813) 605-3900
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
John T Sannuto, RN
Title
Facility Executive Director
Phone
(813) 605-3900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1002044 FL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1002045 FL
Substance Abuse Rehabilitation Facility 324500000X 2901 FL
Substance Abuse Rehabilitation Facility 324500000X 1002043 FL Primary

Addresses

Primary practice location

12018 Boyette Rd
Riverview, FL 33569

Mailing address

500 Wilson Pike Cir Ste 360
Brentwood, TN 37027-3266

Other practice location 1

12012 Boyette Rd
Riverview, FL 33569
Phone (813) 605-3900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2100565River Oaks Treatment Center, LLC12012 Boyette Rd, Riverview, FL 33569Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
River Oaks Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12012 Boyette Rd
Riverview, FL 33569
Phone (813) 605-3900

12018 Boyette Rd
Riverview, FL 33569
Phone (813) 295-7762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1366826596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILSON PIKE CIR STE 360",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33569",
            "telephone_number": "813-605-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12012 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "33569",
            "country_code": "US",
            "telephone_number": "813-605-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER OAKS TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "SANNUTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FACILITY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-605-3900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1002044",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1002045",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "2901",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1002043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.