SHORELINE MEDICAL ADDICTION TREATMENT LLC
NPI 1659051647
Clinic/Center - Rehabilitation, Substance Use Disorder in Edgewater, FL
About Shoreline Medical Addiction Treatment Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHORELINE MEDICAL ADDICTION TREATMENT LLC (NPI 1659051647) is a healthcare organization registered as a rehabilitation, substance use disorder in Edgewater, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Stephen Charles Viel, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2286417
Shoreline Medical Addiction Treatment LLC · Edgewater, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shoreline Medical Addiction Treatment LLC's NPI number?
The NPI number for Shoreline Medical Addiction Treatment LLC is 1659051647. It was assigned to this organization in the NPPES registry on July 24, 2023.
Where is Shoreline Medical Addiction Treatment LLC located?
Shoreline Medical Addiction Treatment LLC is located at 602 W Indian River Blvd Ste 2, Edgewater, FL 32132. The listed phone number is (386) 868-2619.
What is Shoreline Medical Addiction Treatment LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Shoreline Medical Addiction Treatment LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2286417) is associated with this NPI, valid through July 27, 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 Shoreline Medical Addiction Treatment LLC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shoreline Medical Addiction Treatment Llc · NPI 1659051647
Rehabilitation, Substance Use Disorder organization in Edgewater, Florida. Organization record, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1659051647 (Entity type: Organization)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Stephen Viel, MANAGING PARTNER
## Practice location
- **Address:** 602 W INDIAN RIVER BLVD STE 2, Edgewater, FL 32132-3500
- **Phone:** (386) 868-2619
## Record status
- **NPPES last updated:** July 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659051647) · Data from the CMS NPPES public registry.