Isle of Palms Recovery Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1101 Issued in FL

Legal business name

ISLE OF PALMS RECOVERY CENTER, LLC

Practice address

5027 Tamiami TRL E
Naples, FL 34113-4126

Phone

(844) 422-3446

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Sean Moore

Title

Ceo

Phone

(614) 504-6470

Specialties & licenses 1

Addresses

Tax ID family

Isle of Palms Recovery Center LLC2 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.

• Isle of Palms Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Naples, FL
  • NPI 1538603873
  NPD tax ID

Locations

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982148870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 US HIGHWAY 42 N",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430649774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341134126",
            "telephone_number": "844-422-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLE OF PALMS RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-504-6470"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isle of Palms Recovery Center, LLC
• Simelant Isme
• Haleigh Ison
• Prissilla Issa, OD
• Kimberly Ann Iuliano, BS, PTA
• Kirsteen Ivanaj

• Substance Abuse Rehabilitation Facility in Naples, FL
• Providers in Naples, 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 Jul 21, 2022; 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.