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THE ACADEMY AT AMBROSIA LLC
NPI 1346015500
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Port Saint Lucie, FL

Active since November 17, 2023
1091 SW BAYSHORE BLVD, PORT SAINT LUCIE, FL 34983(772) 323-2099(561) 578-8601 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Academy At Ambrosia Llc NPPES

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

THE ACADEMY AT AMBROSIA LLC (NPI 1346015500) is a healthcare organization registered as a substance abuse treatment, children in Port Saint Lucie, Florida and active in the NPI registry since November 2023. The organization lists Danesh Alam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346015500
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameTHE ACADEMY AT AMBROSIA LLC
Location Address1091 SW BAYSHORE BLVDPort Saint Lucie, FL 34983-2463
Mailing Address222 Picadilly StWest Palm Beach, FL 33407-6017 · (630) 390-0042
Phone(772) 323-2099
Fax(561) 578-8601
Organization SubpartNo
Authorized OfficialDanesh AlamCeo · (630) 390-0042
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1346015500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
1091 SW BAYSHORE BLVD, Port Saint Lucie, FL 34983
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Other Providers at the Same Location NPPES

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

PEACOCK MEDICAL LLC
Clinical Medical Laboratory
1091 SW BAYSHORE BLVD
PORT ST LUCIE, FL 34983
St. Lucie County (772) 340-3313

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 The Academy At Ambrosia LLC's NPI number?

The NPI number for The Academy At Ambrosia LLC is 1346015500. It was assigned to this organization in the NPPES registry on November 17, 2023.

Where is The Academy At Ambrosia LLC located?

The Academy At Ambrosia LLC is located at 1091 SW Bayshore Blvd, Port Saint Lucie, FL 34983. The listed phone number is (772) 323-2099.

What is The Academy At Ambrosia LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for The Academy At Ambrosia LLC was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.