CLEAR SHORES INC NPI 1841671682

NPI Information

  • NPI: 1841671682
  • Provider Name: CLEAR SHORES, INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: COMPASSION BEHAVIORAL HEALTH
  • CLIA Number: 10D2099651
  • Address: 1 OAKWOOD BLVD
    STE 265
    HOLLYWOOD, FL
    ZIP 33020
  • Phone: (954) 505-2200

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NPI Details

CLEAR SHORES, INC is a substance abuse rehabilitation facility in Hollywood, FL. The provider is 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. CLEAR SHORES, INC NPI is 1841671682. The provider is registered as an organization entity type.
The provider Is Doing Business As Compassion Behavioral Health.

The provider's business location address is:

1 OAKWOOD BLVD
STE 265
HOLLYWOOD, FL
ZIP 33020-956
Phone: (954) 505-2200
Fax: (877) 990-2532

The provider's authorized official is Ryan Needle .
The authorized official title is Cfo and has the following contact phone number (716) 946-9075.

The CLIA number assigned to this NPI record is 10D2099651 - other - substance abuse facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2323P00000XPsychiatric Residential Treatment FacilityNo
3324500000XSubstance Abuse Rehabilitation FacilityFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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