SOPHROS RECOVERY LLC NPI 1750962445

NPI Information

NPI: 1750962445
Provider Name: SOPHROS RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2232759

Address:
2511 SAINT JOHNS BLUFF RD S STE 105&106
JACKSONVILLE, FL
ZIP 32246
Phone: (808) 388-3916
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SOPHROS RECOVERY LLC is a substance abuse rehabilitation facility in Jacksonville, FL. The provider is 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. SOPHROS RECOVERY LLC NPI is 1750962445. The provider is registered as an organization entity type.

The provider's business location address is:

2511 SAINT JOHNS BLUFF RD S STE 105&106
JACKSONVILLE, FL
ZIP 32246-346
Phone: (808) 388-3916

The provider's authorized official is Nicholas Padlo .
The authorized official title is Ceo and has the following contact phone number (808) 388-3916.

The CLIA number assigned to this NPI record is 10D2232759 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	324500000X	Substance Abuse Rehabilitation Facility		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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