BAYSHORE RETREAT, LLC


Address: 457 Cahoun Ave, Destin, FL 32541
Phone: 8502693975

BAYSHORE RETREAT, LLC (NPI# 1982991121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982991121
Entity Type Organization
Organization Name BAYSHORE RETREAT, LLC
Practice Address 457 Cahoun Ave
Destin
FL 32541
Mailing Address Po Box 365
Destin
FL 32540-0365
Practice Telephone 8502693975
Enumeration Date 2011-07-08
Last Update Date 2011-07-08
Authorized Official Name JEFFREY JENKS (COO)
Authorized Official Telephone 8502693975
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 0146AD1561-01 FL Residential Treatment Facilities

Office Location

Street Address 457 CAHOUN AVE
City DESTIN
State FL
Zip Code 32541

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578020574 Wal-mart Stores East, Lp Durable Medical Equipment & Medical Supplies Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 2019-02-26
1932640471 Kathryn Clower Chiropractor 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 2017-03-16
1881133148 Danielle Mckinney Physical Therapist 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 2017-02-20
1417304643 Coastal Pediatric Group Pediatrics 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 2016-05-17
1336563956 Blu By The Sea,llc Clinic/Center 3399 Scenic Highway 98, Destin, FL 32541 2014-02-18
1740539535 Courtney Breaux Mcgee Physician Assistant 155 Crystal Beach Drive #121, Destin, FL 32541 2012-09-07
1073861704 Nathan Hall Dmd Pl Dentist 4484 Legendary Dr, Suite B, Destin, FL 32541 2012-08-28
1457661605 Destin Surgery Clinic, P.a. Specialist 415 Mountain Drive, Suite # 6, Destin, FL 32541 2010-10-20
1194032581 Laura Mathisen Behavioral Analyst 3820 Misty Way, Destin, FL 32541 2010-09-07
1376795690 Valerie P. Peterson Counselor 215 Mountain Dr #106, Emerald Coast Counseling Center, Pa, Destin, FL 32541 2008-10-17
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902030612 Narconon Gulf Coast, Inc. Substance Abuse Rehabilitation Facility 3391 Scenic Highway 98, Destin, FL 32541-4748 2009-05-08
1487078077 Blu By The Sea, LLC Substance Abuse Rehabilitation Facility 3399 Scenic Highway 98, Destin, FL 32541 2014-02-18
1295167559 Gulf Coast Addiction Treatment Substance Abuse Rehabilitation Facility 3391 Scenic Highway 98, Destin, FL 32541-4748 2013-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336747146 Ascend Recovery Center Substance Abuse Rehabilitation Facility 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 2020-10-14
1427664366 Noble Wellness, LLC Substance Abuse Rehabilitation Facility 402 Ne 10th Ter, Boca Raton, FL 33432-2940 2020-09-16
1477166494 Sands Treatment Center LLC Substance Abuse Rehabilitation Facility 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 2020-08-28
1750991923 Aspen Behavioral Health LLC Substance Abuse Rehabilitation Facility 525 10th St Ste 503, Lake Park, FL 33403-3187 2020-08-03
1538786991 Cypress Wellness Retreat LLC Substance Abuse Rehabilitation Facility 180 Elaine Rd, West Palm Beach, FL 33413-2311 2020-07-01
1528680998 Northlake Recovery, LLC Substance Abuse Rehabilitation Facility 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 2020-05-08
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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Competitor

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City DESTIN
Zip Code 32541

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Dataset Information

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.

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