South Shores Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300352AP Issued in CA

Legal business name

SOUTH SHORES DETOX LLC

Practice address

32851 Buccaneer St
Dana Point, CA 92629-1312

Phone

(949) 289-2138

NPI assigned

Dec 23, 2015

Last updated

Sep 9, 2016By 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

Mr. Josh D SmithNPI 1114373065

Title

Ceo/Owner

Phone

(949) 289-2138

Specialties & licenses 2

Addresses

Tax ID family

Anchored Recovery Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• South Shores Detox LLC

  dba Anchored Recovery Community

  • Substance Abuse Rehabilitation Facility
  • San Juan Capistrano, CA
  • NPI 1932654241
  NPD tax ID
• South Shores Detoxllc

  • Substance Abuse Rehabilitation Facility
  • Dana Point, CA
  • NPI 1972972560
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josh D Smith

  • Addiction (Substance Use Disorder) Counselor
  • Dana Point, CA
  • NPI 1114373065
  NPD (past) Authorized official

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1467817114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31746 VIA BELARDES",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753031",
            "telephone_number": "949-289-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32851 BUCCANEER ST",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291312",
            "telephone_number": "949-289-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORES DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "949-289-2138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300324AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300352AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soloutions & Insights (Longevity Inc.)
• Dennis Soltes, OTR/L
• James John Soltis
• Grace Soltynski, DAOM
• South County Therapy
• South Shores Detoxllc
• Southern California Psychiatric Associates Inc.
• Sovereignty Group Corp
• Sozango Inc (FlexTogether)
• John C. Spaeth Jr., O.D.

• Substance Abuse Rehabilitation Facility in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.