Clean Life Detox
NPI 1215455928 · Substance Abuse Rehabilitation Facility · Largo, FL
Clean Life Detox is a Substance Abuse Rehabilitation Facility organization in Largo, FL (NPI 1215455928).
Provider details
- NPI number
- 1215455928
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mickoria Smith, Chief Operating Officer(561) 420-7501
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-01
- Last updated
- 2022-07-21
Frequently asked questions
- What is Clean Life Detox's NPI number?
- Clean Life Detox's National Provider Identifier (NPI) is 1215455928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clean Life Detox?
- Clean Life Detox is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Clean Life Detox located?
- Clean Life Detox's practice location on file with NPPES is 405 7th Ave Sw, Largo, FL 33770-3400.
- What is Clean Life Detox's phone number?
- The practice phone number listed in the NPPES registry for Clean Life Detox is (727) 501-1040.
- Who is the authorized official for Clean Life Detox?
- The authorized official listed on Clean Life Detox's NPPES record is Mickoria Smith, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clean Life Detox's NPI active?
- Yes — Clean Life Detox's NPI (1215455928) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.