Organization Active NPI

Wsop Services, LLC

Doing business as White Sands Alcohol & Drug Rehab Fort Myers

  • Emergency Care Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1750859732
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
WSOP SERVICES, LLC
Doing business as
White Sands Alcohol & Drug Rehab Fort Myers
WhiteSands Alcohol & Drug Rehab Fort Myers
WhiteSands of Fort Myers Outpatient Treatment
Practice address
1870 Colonial Blvd
Fort Myers, FL 33907-1301
Phone
(786) 373-8899
Fax
(954) 531-1827
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Mr. David L Hatton
Title
General Counsel / Manager
Phone
(786) 373-8899

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1870 Colonial Blvd
Fort Myers, FL 33907-1301

Mailing address

600 W Hillsboro Blvd
Ste 350
Deerfield Beach, FL 33441-1622
Phone (786) 373-8899

Other names 3

  • White Sands Alcohol & Drug Rehab Fort Myers Doing business as
  • WhiteSands Alcohol & Drug Rehab Fort Myers Doing business as
  • WhiteSands of Fort Myers Outpatient Treatment Doing business as

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
10D2229199Wsop Services, LLC1870 Colonial Blvd, Fort Myers, FL 33907Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory

Locations

14150 Metropolis Ave
Ste 3
Fort Myers, FL 33912
Phone (239) 895-0610

1870 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 895-0610

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1750859732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W HILLSBORO BLVD",
            "address_2": "STE 350",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411622",
            "telephone_number": "786-373-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071301",
            "telephone_number": "786-373-8899",
            "fax_number": "954-531-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSOP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "HATTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL COUNSEL / MANAGER",
        "authorized_official_telephone_number": "786-373-8899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Sands Alcohol & Drug Rehab Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WhiteSands Alcohol & Drug Rehab Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WhiteSands of Fort Myers Outpatient Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2023; 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.