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PORT CHARLOTTE DETOX LLC
NPI 1497408488
Substance Abuse Rehabilitation Facility in Port Charlotte, FL

Active since January 31, 2022
3460 DEPEW AVE, PORT CHARLOTTE, FL 33952(609) 342-9430 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Port Charlotte Detox Llc NPPES

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

PORT CHARLOTTE DETOX LLC (NPI 1497408488) is a healthcare organization registered as a substance abuse rehabilitation facility in Port Charlotte, Florida and active in the NPI registry since January 2022. The organization lists Timothy Meise, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497408488
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePORT CHARLOTTE DETOX LLC
Location Address3460 DEPEW AVEPort Charlotte, FL 33952-7015
Mailing Address3460 Depew AvePort Charlotte, FL 33952-7015
Phone(609) 342-9430
Organization SubpartNo
Authorized OfficialTimothy MeiseCeo · (609) 342-9430
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1497408488 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.
3460 DEPEW AVE, Port Charlotte, FL 33952
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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.

MS. MASON S. MAULSBY ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3460 DEPEW AVE, ALLIED CENTER FOR THERAPY
PORT CHARLOTTE, FL 33952
Charlotte County (941) 764-6300
SANDS DETOX
Substance Abuse Rehabilitation Facility
3460 DEPEW AVE
PORT CHARLOTTE, FL 33952
Charlotte County (754) 213-6635

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 Port Charlotte Detox LLC's NPI number?

The NPI number for Port Charlotte Detox LLC is 1497408488. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Port Charlotte Detox LLC located?

Port Charlotte Detox LLC is located at 3460 Depew Ave, Port Charlotte, FL 33952. The listed phone number is (609) 342-9430.

What is Port Charlotte Detox LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Port Charlotte Detox LLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.