SOUTHERN SKY RECOVERY NPI 1114660057

NPI Information

  • NPI: 1114660057
  • Provider Name: SOUTHERN SKY RECOVERY
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: SOUTHERN SKY RECOVERY
  • CLIA Number: 42D2258396
  • Address: 60 PENNINGTON DR
    BLUFFTON, SC
    ZIP 29910
  • Phone: (912) 536-3173

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NPI Details

SOUTHERN SKY RECOVERY is a substance abuse rehabilitation facility in Bluffton, SC. 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. SOUTHERN SKY RECOVERY NPI is 1114660057. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Sky Recovery.

The provider's business location address is:

60 PENNINGTON DR
BLUFFTON, SC
ZIP 29910-037
Phone: (912) 536-3173

The provider's authorized official is Nathan Shepard .
The authorized official title is Ceo and has the following contact phone number (912) 536-3173.

The CLIA number assigned to this NPI record is 42D2258396 - other - substance use outpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 4/26/2024.

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 License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
22083A0300XPreventive MedicineAddiction MedicineNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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