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ST JOHN'S RECOVERY PLACE LLC
NPI 1215429436
Substance Abuse Rehabilitation Facility in Crescent City, FL

Active since June 04, 2018
1125 N SUMMIT ST, CRESCENT CITY, FL 32112(954) 945-2984 Get Directions Write a Review

NPPES record last updated: June 4, 2018. 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 1215429436) is a healthcare organization registered as a substance abuse rehabilitation facility in Crescent City, Florida and active in the NPI registry since June 2018. The organization lists Shimon Buhadana, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1215429436
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameST JOHN'S RECOVERY PLACE LLC
Location Address1125 N SUMMIT STCrescent City, FL 32112-1721
Mailing Address1125 N Summit StCrescent City, FL 32112-1721 · (954) 945-2984
Phone(954) 945-2984
Organization SubpartNo
Authorized OfficialShimon BuhadanaCeo/owner · (954) 658-7148
Enumeration DateJune 4, 2018
✔ NPI 1215429436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1125 N SUMMIT ST, Crescent City, FL 32112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

TAMARA NADIA CEPEDA
Nurse Practitioner (Psychiatric/Mental Health)
1125 N SUMMIT ST
CRESCENT CITY, FL 32112
Putnam County (833) 397-3422

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 1215429436. It was assigned to this organization in the NPPES registry on June 4, 2018.

Where is St John's Recovery Place LLC located?

St John's Recovery Place LLC is located at 1125 N Summit St, Crescent City, FL 32112. 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 Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does St John's Recovery Place LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers 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 June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.