ST JOHN'S RECOVERY PLACE LLC
NPI 1184223406
Clinic/Center - Rehabilitation, Substance Use Disorder in Deland, FL

Active since October 19, 2020
1045 WILLIAMSBURG RD, DELAND, FL 32720(954) 945-2984(904) 990-1201 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1184223406) is a healthcare organization registered as a rehabilitation, substance use disorder in Deland, Florida and active in the NPI registry since October 2020. The organization lists Shannon Smith, Coo, as its authorized official.

NPPES Registry Identity

NPI1184223406
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameST JOHN'S RECOVERY PLACE LLC
Location Address1045 WILLIAMSBURG RDDeland, FL 32720-1449
Mailing Address1125 N Summit StCrescent City, FL 32112-1721 · (954) 945-2984 · Fax (904) 990-1201
Fax(904) 990-1201
Organization SubpartNo
Authorized OfficialShannon SmithCoo · (954) 945-2984
Enumeration DateOctober 19, 2020
NPPES CertifiedOctober 15, 2020
NPI 1184223406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1045 WILLIAMSBURG RD, Deland, FL 32720

Other Names 1

Doing Business AsSt John's Recovery Place Llc

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.

Dentist (General Practice)
1045 WILLIAMSBURG RD
DELAND, FL 32720
Dentist
1045 WILLIAMSBURG RD
DELAND, FL 32720

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 St John's Recovery Place LLC's NPI number?

The NPI number for St John's Recovery Place LLC is 1184223406. It was assigned to this organization in the NPPES registry on October 19, 2020.

Where is St John's Recovery Place LLC located?

St John's Recovery Place LLC is located at 1045 Williamsburg Rd, Deland, FL 32720. 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.

When was this NPI record last updated?

The NPPES record for St John's Recovery Place LLC was last updated on October 19, 2020. 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.