Organization Active NPI

Shreya Health of Florida, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1609273424
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SHREYA HEALTH OF FLORIDA, INC
Practice address
3331 E Riverside Dr
Fort Myers, FL 33916-1457
Phone
(302) 454-1265
Fax
(302) 454-7868
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mr. Tonmoy Sharma
Title
Ceo
Phone
(302) 454-1265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3331 E Riverside Dr
Fort Myers, FL 33916-1457

Mailing address

PO Box 5915
San Clemente, CA 92674-5915
Phone (949) 276-5553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1609273424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5915",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926745915",
            "telephone_number": "949-276-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E RIVERSIDE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161457",
            "telephone_number": "302-454-1265",
            "fax_number": "302-454-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREYA HEALTH OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "TONMOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-454-1265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.