Organization Active NPI

Sands Recovery & Wellness LLC

  • Infusion Therapy Clinic/Center
  • Saint Augustine, FL
National Provider Identifier
1609533900
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
SANDS RECOVERY & WELLNESS LLC
Practice address
1947 A1A S Ste a
Saint Augustine, FL 32080-6509
Phone
(813) 966-9990
NPI assigned
Nov 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Authorized official

Name
Mr. Brandon Sands
Title
Authorizing Member
Phone
(813) 966-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1947 A1A S Ste a
Saint Augustine, FL 32080-6509

Mailing address

1947 A1A S Ste a
Saint Augustine, FL 32080-6509
Phone (813) 966-9990

Other names 1

  • Reset Doing business as

National Provider Directory

National Provider Directory

Locations

1947 A1A S
Ste A
Saint Augustine, FL 32080
Phone (813) 966-9990

NPI Registry JSON

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1609533900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 A1A S STE A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806509",
            "telephone_number": "813-966-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 A1A S STE A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806509",
            "telephone_number": "813-966-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDS RECOVERY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "AUTHORIZING MEMBER",
        "authorized_official_telephone_number": "813-966-9990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.