TRANQUIL SHORES LLC NPI 1730496126

NPI Information

NPI: 1730496126
Provider Name: TRANQUIL SHORES LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 10D2149845
Address: 4300 DUHME RD FL 2
MADEIRA BEACH, FL
ZIP 33708
Phone: (727) 391-7001

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NPI Details

TRANQUIL SHORES LLC is a rehabilitation and substance use disorder clinic center in Madeira Beach, FL. TRANQUIL SHORES LLC NPI is 1730496126. The provider is registered as an organization entity type.

The provider's business location address is:

4300 DUHME RD FL 2
MADEIRA BEACH, FL
ZIP 33708-876
Phone: (727) 391-7001
Fax: (727) 391-3125

The provider's authorized official is Chad Johnson .
The authorized official title is Ceo and has the following contact phone number (727) 391-7001.

The CLIA number assigned to this NPI record is 10D2149845 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 3/17/2016.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	06-52-AD-495901	FLORIDA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	06-52-AD-495901	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	06-52-AD-495901	FLORIDA	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	06-52-AD-495901	FLORIDA	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	06-52-AD-495901	FLORIDA	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: 11/21/2025

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