Organization · Type 2 NPI

Sma Healthcare Inc

Substance Abuse Rehabilitation Facility · Bunnell, FL

NPI number 1487955977 Active

Practice location

301 Justice Ln
Bunnell, FL 32110-4487

Call (800) 478-0331 Map

Fax (386) 236-3178

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	0718AD5986-41 (FL)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

15 other providers at this address

NPI record

NPI: 1487955977
Entity type: Organization (Type 2)
Issued: Nov 15, 2010
Last updated: Feb 5, 2026
Status: Active
Subpart: Yes of Sma Healthcare Inc

Other names

<unavail>
Vince Carter Sanctuary · doing business as
Vince Carter Sanctuary · doing business as

Authorized official

Mr. Ivan A Cosimi
CEO/president
(386) 236-1811

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487955977

Sma Healthcare Inc's National Provider Identifier is 1487955977, issued on Nov 15, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Bunnell, FL. The record was last updated on Feb 5, 2026.