OrganizationActive
Bayshore Retreat, LLC
NPI 1982991121 · Substance Abuse Rehabilitation Facility · Destin, FL
Provider details
- NPI number
- 1982991121
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Jenks, Coo(850) 269-3975
- License
- 0146AD1561-01 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
457 Cahoun Ave
Destin, FL 32541
Phone: (850) 269-3975
Street-level locationGet directions
Mailing address
Po Box 365
Destin, FL 32540-0365
Registry dates
- Enumerated
- 2011-07-08
- Last updated
- 2011-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.