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BAYSHORE RETREAT, LLC
NPI 1982991121
Substance Abuse Rehabilitation Facility in Destin, FL

Active since July 08, 2011
457 CAHOUN AVE, DESTIN, FL 32541(850) 269-3975 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayshore Retreat, Llc NPPES

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

BAYSHORE RETREAT, LLC (NPI 1982991121) is a healthcare organization registered as a substance abuse rehabilitation facility in Destin, Florida and active in the NPI registry since July 2011. The organization lists Jeffrey Jenks, Coo, as its authorized official.

NPPES Registry Identity

NPI1982991121
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBAYSHORE RETREAT, LLC
Location Address457 CAHOUN AVEDestin, FL 32541
Mailing AddressPo Box 365Destin, FL 32540-0365
Phone(850) 269-3975
Organization SubpartNo
Authorized OfficialJeffrey JenksCoo · (850) 269-3975
Enumeration DateJuly 8, 2011
✔ NPI 1982991121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in FL · 0146AD1561-01
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.
457 CAHOUN AVE, Destin, FL 32541
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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 Bayshore Retreat, LLC's NPI number?

The NPI number for Bayshore Retreat, LLC is 1982991121. It was assigned to this organization in the NPPES registry on July 8, 2011.

Where is Bayshore Retreat, LLC located?

Bayshore Retreat, LLC is located at 457 Cahoun Ave, Destin, FL 32541. The listed phone number is (850) 269-3975.

What is Bayshore Retreat, 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 Bayshore Retreat, LLC was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.