BAYSHORE RETREAT, LLC – NPI #1982991121
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.

BAYSHORE RETREAT, LLC is a substance abuse rehabilitation facility located in DESTIN, FL. NPPES has assigned the NPI number 1982991121 to BAYSHORE RETREAT, LLC on July 08, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYSHORE RETREAT, LLC below.

NPI Profile for
BAYSHORE RETREAT, LLC

NPI Number
1982991121
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYSHORE RETREAT, LLC
Primary location
457 CAHOUN AVE
DESTIN, FL 32541
Phone: (850) 269-3975 Fax:
Mailing address
PO BOX 365
DESTIN, FL 32540-0365
Phone: Fax:
Organization Subpart
No
Authorized Official
JEFFREY JENKS
COO
Phone: (850) 269-3975
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
FL 0146AD1561-01

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.