Sun Coast Recovery Ranch LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUN COAST RECOVERY RANCH LLC

Doing business as

Sun Coast Recovery Ranch LLC

Practice address

4801 Hancock Rd
Southwest Ranches, FL 33330

Phone

(954) 900-3114

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Salvatore Pace

Title

Chief Executive Officer

Phone

(786) 999-4322

Specialties & licenses 3

Addresses

Other names 1

• Sun Coast Recovery Ranch LLC Doing business as

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

CLIA laboratory certificates

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.

• Pedro Donosso Sam, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1467762245
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1508365982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HANCOCK RD",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302209",
            "telephone_number": "954-900-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HANCOCK RD",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-900-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN COAST RECOVERY RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "786-999-4322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Coast Recovery Ranch LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun Coast Recovery Ranch LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Spatz, LMFT
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• Joanna Theodorou, DMD
• Alicia Maria Toro, DDS
• Kimberley Valencia, RN, BSN
• Aracelis Vazquez Ortiz

• Substance Abuse Rehabilitation Facility in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.