PRISMA RECOVERY CENTER LLC
NPI 1093587685
Substance Abuse Rehabilitation Facility in Fort Myers, FL

Active since October 26, 2023CLIA 10D2298258 · Waiver
7205 CYPRESS DR, FORT MYERS, FL 33907(772) 812-9652(833) 535-0164 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Oct 26, 2023 (2 updates tracked since 2023).

About Prisma Recovery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRISMA RECOVERY CENTER LLC (NPI 1093587685) is a healthcare organization registered as a substance abuse rehabilitation facility in Fort Myers, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Jared Turner, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1093587685
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePRISMA RECOVERY CENTER LLC
Location Address7205 CYPRESS DRFort Myers, FL 33907-2975
Mailing Address120 N Federal Hwy Ste 206Lake Worth, FL 33460-3493 · (772) 812-9652 · Fax (833) 535-0164
Fax(833) 535-0164
Organization SubpartNo
Authorized OfficialJared TurnerBilling Manager · (772) 812-9652
Enumeration DateOctober 26, 2023
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
NPI 1093587685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
7205 CYPRESS DR, Fort Myers, FL 33907

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2298258

Prisma Recovery Center LLC · Fort Myers, FL
Active · expires Jan 30, 2028
CLIA Number10D2298258
Laboratory TypeDetoxification Center
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorCrystal Donato
Laboratory Phone(561) 251-7404
Laboratory LocationPrisma Recovery Center LLC7205 Cypress Dr, Fort Myers, FL 33907
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Residential Treatment Facility
7205 CYPRESS DR
FORT MYERS, FL 33907
Assisted Living Facility
7205 CYPRESS DR
FORT MYERS, FL 33907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prisma Recovery Center LLC's NPI number?

The NPI number for Prisma Recovery Center LLC is 1093587685. It was assigned to this organization in the NPPES registry on October 26, 2023.

Where is Prisma Recovery Center LLC located?

Prisma Recovery Center LLC is located at 7205 Cypress Dr, Fort Myers, FL 33907. The listed phone number is (772) 812-9652.

What is Prisma Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Prisma Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2298258) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prisma Recovery Center LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.