Active NPIOrganization

Shore Break Recovery Center LLC

Counselor, Addiction (Substance Use Disorder) in Manahawkin, New Jersey

NPI Number1407438823
Practice location
1322 Route 72 W Ste 202, Manahawkin, NJ 08050-2486
Fax
—
Last updated
November 9, 2026

Shore Break Recovery Center LLC is a healthcare organization based in Manahawkin, NJ. Shore Break Recovery Center LLC practices in Manahawkin, NJ. The NPI Number for Shore Break Recovery Center LLC is 1407438823. The current practice location address for Shore Break Recovery Center LLC is 1322 Route 72 W Ste 202, Manahawkin, NJ 08050-2486 and can be reached out via phone at 609-752-3429.

Provider Profile Details

NPI Number
1407438823
Provider Name
Shore Break Recovery Center LLC
Provider Entity Type
Organization
Address
1322 Route 72 W Ste 202, Manahawkin, NJ 08050-2486
Phone Number
609-752-3429
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Organization Subpart
No
Authorized Official
Daniel Miranda · Ceo · 561-676-1634
Provider Enumeration Date
April 26, 2021
Last Update Date
November 9, 2026
Certification Date
November 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1322 Route 72 W Ste 202
Manahawkin, NJ 08050-2486
Zip
08050-2486
Phone Number
609-752-3429
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
1322 Route 72 W Ste 202
Manahawkin, NJ 08050-2486
City
Manahawkin
State
NJ
Zip
08050-2486
Phone Number
561-676-1634

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shore Break Recovery Center LLC?

The NPI number of Shore Break Recovery Center LLC is 1407438823. It was assigned on April 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Shore Break Recovery Center LLC?

Shore Break Recovery Center LLC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Shore Break Recovery Center LLC practice?

The practice location is 1322 Route 72 W Ste 202, Manahawkin, NJ 08050-2486. The office can be reached at 609-752-3429 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407438823 directly on the NPPES registry website.

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