South Shores Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTH SHORES DETOX LLC

Doing business as

Anchored Recovery Community

Practice address

32242 Paseo Adelanto
Suite D4
San Juan Capistrano, CA 92675-3610

Phone

(949) 289-2138

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josh SmithNPI 1114373065

Title

Ceo

Phone

(949) 289-2138

Specialties & licenses 1

Addresses

Other names 1

• Anchored Recovery Community Doing business as

Tax ID family

Anchored Recovery Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• South Shores Detox LLC

  • Substance Abuse Rehabilitation Facility
  • Dana Point, CA
  • NPI 1467817114
  NPD tax ID
• South Shores Detoxllc

  • Substance Abuse Rehabilitation Facility
  • Dana Point, CA
  • NPI 1972972560
  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, and the practitioner matching its NPPES authorized official.

• Josh D Smith

  • Addiction (Substance Use Disorder) Counselor
  • Dana Point, CA
  • NPI 1114373065
  Authorized official Same address or phone

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1932654241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31746 VIA BELARDES",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753031",
            "telephone_number": "949-289-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32242 PASEO ADELANTO",
            "address_2": "SUITE D4",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753610",
            "telephone_number": "949-289-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORES DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-289-2138"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchored Recovery Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Jo Sonnier
• Yen-Hui Matthew Soong, M.D.
• Michael Soroudi, PMHNP, FNP
• South County Hospice, Inc. (Cabrillo Hospice)
• South Orange County Wellness LLC
• Southern California Assistant Surgeons Inc.
• Patricia Lucia Speier-Torres, LCSW
• Garrett Todd Spencer, PT
• Spine and Sport Physical Therapy, Inc
• Sports Medicine Institute South Orange County

• Substance Abuse Rehabilitation Facility in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.