Sober Beacon Residences

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOBER BEACON RESIDENCES

Practice address

1147 Banks Rd
Margate, FL 33063-6702

Phone

(305) 814-7623

Fax

(954) 372-2069

NPI assigned

Mar 14, 2017

Organization subpart

Yes

Parent organization

SOBER BEGINNINGS TREATMENT CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Sherry Lynn Acosta, PHD, LMHCNPI 1326083478

Title

Ceo

Phone

(305) 814-7623

Specialties & licenses 2

Addresses

Tax ID family

Sober Beginnings Treatment Center LLC3 organizations share this tax ID, including this one

Part of

Sober Beginnings Treatment Center LLC

Other organizations with this tax ID 2

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

• Sober Beginnings Treatment Center, LLC

  dba SOBE Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Margate, FL
  • NPI 1124475975
  NPD tax ID
• Sober Beginnings Treatment Center, LLC

  • Recovery Care Clinic/Center
  • Margate, FL
  • NPI 1386186773
  NPD tax ID

Locations

Practitioners 1

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

• Sherry Lynn Acosta, PH.D., LMHC

  • Mental Health Counselor
  • Margate, FL
  • NPI 1326083478
  NPD (past) Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1902347610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 COLUMBIA CT",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638006",
            "telephone_number": "305-814-7623",
            "fax_number": "954-372-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 BANKS RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330636702",
            "telephone_number": "305-814-7623",
            "fax_number": "954-372-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER BEACON RESIDENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOBER BEGINNINGS TREATMENT CENTER, LLC",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-814-7623",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Smith
• Nia Chale Smith
• Shanara Smith
• Shanelle Smith, NP
• Shannon M Smith
• Sober Beginnings Treatment Center, LLC (SOBE Treatment Center)
• Sober Beginnings Treatment Center, LLC
• Tara A Solomon, MD
• Eileen Giovanna Somerville, LMHC
• Joan Sonabend, LMT

• Substance Abuse Rehabilitation Facility in Margate, FL
• Providers in Margate, 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 Mar 14, 2017; 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.