Intrepid Detox Residential LLC
NPI 1275176497 · Substance Abuse Rehabilitation Facility · Mangonia Park, FL
Intrepid Detox Residential LLC is a Substance Abuse Rehabilitation Facility organization in Mangonia Park, FL (NPI 1275176497).
Provider details
- NPI number
- 1275176497
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Nash, Owner(866) 871-5111
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
6 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
- 2019-10-21
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Frequently asked questions
- What is Intrepid Detox Residential LLC's NPI number?
- Intrepid Detox Residential LLC's National Provider Identifier (NPI) is 1275176497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intrepid Detox Residential LLC?
- Intrepid Detox Residential LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Intrepid Detox Residential LLC located?
- Intrepid Detox Residential LLC's practice location on file with NPPES is 1120 48th St, Mangonia Park, FL 33407-2302.
- What is Intrepid Detox Residential LLC's phone number?
- The practice phone number listed in the NPPES registry for Intrepid Detox Residential LLC is (866) 871-5111.
- Who is the authorized official for Intrepid Detox Residential LLC?
- The authorized official listed on Intrepid Detox Residential LLC's NPPES record is John Nash, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intrepid Detox Residential LLC's NPI active?
- Yes — Intrepid Detox Residential LLC's NPI (1275176497) is active in the NPPES registry as of the last update on 2020-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.