MEDICARE: VERO BEACH RECOVERY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1023973450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERO BEACH RECOVERY CENTER LLC

Provider Business Mailing Address
First Line	:	333 17TH ST STE M
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5686
Country	:	US
Telephone Number	:	772-584-3083
Fax Number	:	772-218-3003

Provider Business Practice Location Address
First Line	:	6410 OLD DIXIE HWY
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-5909
Country	:	US
Telephone Number	:	772-584-3083
Fax Number	:	772-218-3003

Authorized Official
Title or Position	:	CEO
Name	:	KOSTA VELIS
Credential	:
Telephone Number	:	772-584-3083

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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