Organization · Type 2 NPI

Sun Coast Recovery Ranch LLC

Substance Abuse Rehabilitation Facility · Southwest Ranches, FL

NPI number 1508365982 Active

Practice location

4801 Hancock Rd
Southwest Ranches, FL 33330

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

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.

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NPI record

NPI: 1508365982
Entity type: Organization (Type 2)
Issued: Feb 12, 2018
Last updated: Jul 1, 2026
Status: Active

Other names

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Sun Coast Recovery Ranch LLC · doing business as
Sun Coast Recovery Ranch LLC · doing business as

Authorized official

Mr. Salvatore Pace
Chief Executive Officer
(786) 999-4322

Verify this record

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 1508365982

Sun Coast Recovery Ranch LLC's National Provider Identifier is 1508365982, issued on Feb 12, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Southwest Ranches, FL. The record was last updated on Jul 1, 2026.