Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

The Academy at Ambrosia LLC

Children's Substance Abuse Rehabilitation Facility in Port Saint Lucie, FL · enumerated 2023 · authorized official Danesh Alam, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346015500

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Registry record

Entity type Organization (Type 2)

Legal business name The Academy at Ambrosia LLC

Practice address 1091 Sw Bayshore Blvd, Port Saint Lucie, FL, 34983

Phone (772) 323-2099

Fax (561) 578-8601

Enumeration date Nov 17, 2023

Last updated in NPPES Nov 17, 2023

Taxonomy & classification

3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Danesh Alam

Title Ceo

Phone (630) 390-0042

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is The Academy at Ambrosia LLC located?

The practice location on file with NPPES is in Port Saint Lucie, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-17. Verify at npiregistry.cms.hhs.gov.

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Peacock Medical LLC Clinical Medical Laboratory · Port St Lucie, FL NPI 1679873236

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-17.