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THE AUGUSTINE RECOVERY CENTER
NPI 1174914048
Substance Abuse Rehabilitation Facility in St Augustine, FL

Active since February 12, 2015CLIA 10D2098666 · Waiver
3930 US 1 S, ST AUGUSTINE, FL 32086(904) 540-4232 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Apr 8, 2021, Feb 23, 2016 (3 updates tracked since 2016).

About The Augustine Recovery Center NPPES

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

THE AUGUSTINE RECOVERY CENTER (NPI 1174914048) is a healthcare organization registered as a substance abuse rehabilitation facility in St Augustine, Florida and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through July 12, 2027, maintains a secondary practice location in St Augustine, and lists Phillip D Snyder, Admissions Supervisor, as its authorized official.

NPPES Registry Identity

NPI1174914048
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBRIDGE TO SHORE RECOVERY, LLC
Location Address3930 US 1 SSt Augustine, FL 32086-7089
Mailing Address3930 Us 1 SSt Augustine, FL 32086-7089 · (904) 540-4232
Phone(904) 540-4232
Organization SubpartNo
Authorized OfficialPhillip D SnyderAdmissions Supervisor · (904) 217-0480
Enumeration DateFebruary 12, 2015
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1174914048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in FL · 5501
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
3930 US 1 S, St Augustine, FL 32086
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Other Names 1

Doing Business AsThe Augustine Recovery Center

Secondary Practice Location 1

Location 13 Davis StSt Augustine, FL 32084-0476 · Phone (904) 217-0480 · Fax (904) 217-3081

Other Identifiers 4

OtherME38055FL · Md
OtherAPRN2520572FL · Aprn
OtherSW16603FL · Lcsw
OtherMH17663FL · Lmhc

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 10D2098666

Bridge To Shore Recovery LLC Dba The Augustine Recovery Center · Saint Augustine, FL
Active · expires Jul 12, 2027
CLIA Number10D2098666
Laboratory TypeSubstance Abuse Tx Facili
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorShriram Marathe
Laboratory Phone(904) 217-0480
Laboratory LocationBridge To Shore Recovery LLC Dba The Augustine Recovery Center3930 Us 1 S, Saint Augustine, FL 32086
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARK F JACKSON M.D.
Anesthesiology (Addiction Medicine)
3930 US 1 S
SAINT AUGUSTINE, FL 32086
St. Johns County (352) 283-3568

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 Bridge To Shore Recovery, LLC's NPI number?

The NPI number for Bridge To Shore Recovery, LLC is 1174914048. It was assigned to this organization in the NPPES registry on February 12, 2015. The provider is doing business as The Augustine Recovery Center.

Where is Bridge To Shore Recovery, LLC located?

Bridge To Shore Recovery, LLC is located at 3930 Us 1 S, St Augustine, FL 32086. The listed phone number is (904) 540-4232.

What is Bridge To Shore Recovery, LLC's specialty?

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

Does Bridge To Shore Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2098666) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridge To Shore Recovery, LLC was last updated on February 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.