Organization Active NPI

Clear Shores, Inc

  • Substance Abuse Rehabilitation Facility
  • Hollywood, FL
National Provider Identifier
1841671682
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CLEAR SHORES, INC
Practice address
1 Oakwood Blvd
Ste 265
Hollywood, FL 33020-1956
Phone
(954) 505-2200
Fax
(877) 990-2532
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Mr. Ryan Needle
Title
Cfo
Phone
(716) 946-9075

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X FL Primary

Addresses

Primary practice location

1 Oakwood Blvd
Ste 265
Hollywood, FL 33020-1956

Mailing address

1 Oakwood Blvd
Ste 265
Hollywood, FL 33020-1956
Phone (954) 505-2200

Other practice location 1

1425 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1916
Phone (954) 505-2200

Other practice location 2

1901 Johnson St
Unit #1,#2,#3
Hollywood, FL 33020
Phone (954) 505-2200

Other names 1

  • Compassion Behavioral Health 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
10D2099651Clear Shores Inc1425 W Cypress Creek Road Suite 201, Fort Lauderdale, FL 33309Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Clear Shores Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1841671682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD",
            "address_2": "STE 265",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201956",
            "telephone_number": "954-505-2200",
            "fax_number": "877-990-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD",
            "address_2": "STE 265",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201956",
            "telephone_number": "954-505-2200",
            "fax_number": "877-990-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 W Cypress Creek Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333091916",
            "country_code": "US",
            "telephone_number": "954-505-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Johnson St",
            "address_2": "Unit #1,#2,#3",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "33020",
            "country_code": "US",
            "telephone_number": "954-505-2200",
            "fax_number": "954-272-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR SHORES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "NEEDLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-946-9075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.