OrganizationActive
Shores Treatment and Recovery Service LLC
NPI 1326485475 · Children's Substance Abuse Rehabilitation Facility · Port St Lucie, FL
Provider details
- NPI number
- 1326485475
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Marino, Owner/Ceo(626) 797-9977
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
8493 S US Highway 1
Unit 14
Port St Lucie, FL 34952-3360
Phone: (626) 797-9977
Fax: (626) 844-2977
Street-level locationGet directions
Mailing address
8493 S US Highway 1
Port St Lucie, FL 34952-3360
Registry dates
- Enumerated
- 2013-05-30
- Last updated
- 2013-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.