CLEAR SHORES, INC (NPI# 1841671682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841671682 |
| Entity Type | Organization |
| Organization Name | CLEAR SHORES, INC |
| Other Organization Name | COMPASSION BEHAVIORAL HEALTH |
| Practice Address |
1 Oakwood Blvd Ste 265 Hollywood FL 33020-1956 |
| Practice Telephone | 9545052200 |
| Practice Fax Number | 8779902532 |
| Mailing Telephone | 9545052200 |
| Mailing Fax Number | 8779902532 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. RYAN NEEDLE (CFO) |
| Authorized Official Telephone | 7169469075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Compassion Behavioral Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 Johnson St, Unit #1,#2,#3, Hollywood, FL 33020 | 9545052200 | 9542727674 |
| Street Address |
1 OAKWOOD BLVD STE 265 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432138 | Hollywood Artificial Kidney Center Ltd | Clinic/Center | 1 Oakwood Blvd, Suite 100, Hollywood, FL 33020-1956 | 2006-01-19 |
| 1992208128 | Meagan Victoria Palermo | Occupational Therapist | 1 Oakwood Blvd, Hollywood, FL 33020-1956 | 2018-03-14 |
| 1578078069 | Amity Hendershot | Physical Therapist | 1 Oakwood Blvd, Hollywood, FL 33020-1956 | 2017-12-06 |
| 1356850093 | Jillian Alexa Mestre | Speech-Language Pathologist | 1 Oakwood Blvd, Hollywood, FL 33020-1956 | 2017-09-26 |
| 1154869683 | Lavanya Devatha | Physical Therapist | 1 Oakwood Blvd, #130, Hollywood, FL 33020-1956 | 2017-02-04 |
| 1659829968 | Lindsay Rappaport | Speech-Language Pathologist | 1 Oakwood Blvd, Hollywood, FL 33020 | 2016-09-15 |
| 1548613656 | Alyssa Matriccino | Speech-Language Pathologist | 1 Oakwood Blvd, Suit 130, Hollywood, FL 33020-1956 | 2016-07-13 |
| 1760834246 | Kaitlyn Marie Smallacombe | Occupational Therapy Assistant | 1 Oakwood Blvd, #130, Hollywood, FL 33020-1956 | 2016-07-07 |
| 1992154488 | Nina Camacho | Physical Therapist | 1 Oakwood Blvd, Suite 130, Hollywood, FL 33020-1956 | 2016-06-06 |
| 1205283744 | Elise Halberstein | Speech-Language Pathologist | 1 Oakwood Blvd, Suite 130, Hollywood, FL 33020-1956 | 2016-05-13 |
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|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
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| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154984250 | Jakoubswellness, Inc. | Substance Abuse Rehabilitation Facility | 2 Oakwood Blvd Ste 195, Hollywood, FL 33020-1962 | 2019-04-15 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1992822688 | Recovery First, Inc | Substance Abuse Rehabilitation Facility | 5844 Stirling Rd, Hollywood, FL 33021-1527 | 2007-03-26 |
| 1679061758 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21st Ave, Hollywood, FL 33020-6935 | 2018-04-25 |
| 1134676703 | Connections Addiction Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 2699 Stirling Road, Suite C-201, Hollywood, FL 33312 | 2016-09-01 |
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| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
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| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.