THE SHORE DETOX LLC
NPI 1891318077
Substance Abuse Rehabilitation Facility in Galloway, NJ

Q: What is The Shore Detox LLC's NPI number?

The NPI number for The Shore Detox LLC is 1891318077. It was assigned to this organization in the NPPES registry on May 22, 2020. The provider is doing business as Boca Recovery Center.

Q: What is The Shore Detox LLC's specialty?

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

Active since May 22, 2020CLIA 31D2184968 · Waiver

30 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205(609) 798-7596(561) 516-6215 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Mar 17, 2025, Apr 14, 2021 and 1 more (4 updates tracked since 2020).

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About The Shore Detox Llc NPPES

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

THE SHORE DETOX LLC (NPI 1891318077), doing business as Boca Recovery Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Galloway, New Jersey and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Christopher Ferry, President, as its authorized official.

NPPES Registry Identity

NPI1891318077

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameTHE SHORE DETOX LLC

Location Address30 W JIMMIE LEEDS RDGalloway, NJ 08205-9421

Mailing Address30 W Jimmie Leeds RdGalloway, NJ 08205-9421 · (609) 798-7596 · Fax (561) 516-6215

Phone(609) 798-7596

Fax(561) 516-6215

Organization SubpartNo

Authorized OfficialChristopher FerryPresident · (609) 798-7596

Enumeration DateMay 22, 2020

Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1891318077 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.

Other Names 1

Doing Business AsBoca Recovery Center

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 31D2184968

The Shore Detox LLC · Galloway Township, NJ

Active · expires May 27, 2028

CLIA Number31D2184968

Laboratory TypeDrug: Alcohol Detox

Certificate Effective DateMay 28, 2026

Certificate Expiration DateMay 27, 2028

Laboratory DirectorChristopher Ferry

Laboratory Phone(609) 202-5669

Laboratory LocationThe Shore Detox LLC30 W Jimmie Leeds Road, Galloway Township, NJ 08205

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JAMIE LEA PLATA FNP-C

Nurse Practitioner

30 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205

Atlantic County (609) 710-5530

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 Shore Detox LLC's NPI number?

The NPI number for The Shore Detox LLC is 1891318077. It was assigned to this organization in the NPPES registry on May 22, 2020. The provider is doing business as Boca Recovery Center.

Where is The Shore Detox LLC located?

The Shore Detox LLC is located at 30 W Jimmie Leeds Rd, Galloway, NJ 08205. The listed phone number is (609) 798-7596.

What is The Shore Detox LLC's specialty?

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

Does The Shore Detox LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2184968) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Shore Detox LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.