ST JOHN'S RECOVERY PLACE LLC
NPI 1144839283
Clinic/Center - Rehabilitation, Substance Use Disorder in Melbourne, FL
About St John's Recovery Place Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST JOHN'S RECOVERY PLACE LLC (NPI 1144839283) is a healthcare organization registered as a rehabilitation, substance use disorder in Melbourne, Florida and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Shannon Michelle Smith, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 10D2158379
St Johns Recovery Place LLC · Crescent City, FLFrequently 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 St John's Recovery Place LLC's NPI number?
The NPI number for St John's Recovery Place LLC is 1144839283. It was assigned to this organization in the NPPES registry on July 24, 2020.
Where is St John's Recovery Place LLC located?
St John's Recovery Place LLC is located at St Johns Recovery Place LLC 109 Silver Palm Avenue, Melbourne, FL 32901. The listed phone number is (954) 945-2984.
What is St John's Recovery Place LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does St John's Recovery Place LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2158379) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St John's Recovery Place LLC accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list St John's Recovery Place LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for St John's Recovery Place LLC was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# St John's Recovery Place Llc · NPI 1144839283
Rehabilitation, Substance Use Disorder organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since July 24, 2020.
## Identity
- **NPI:** 1144839283 (Entity type: Organization)
- **Enumerated:** July 24, 2020
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Shannon Smith, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** ST JOHNS RECOVERY PLACE LLC, 109 SILVER PALM AVENUE, Melbourne, FL 32901
- **Phone:** (954) 945-2984
## Record status
- **NPPES last updated:** May 17, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144839283) · Data from the CMS NPPES public registry.