RECOVERY COAST (NPI# 1780134874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780134874 |
| Entity Type | Organization |
| Organization Name | RECOVERY COAST |
| Practice Address |
340 16th Ave N Jacksonville FL 32250-4819 |
| Practice Telephone | 9044294422 |
| Practice Fax Number | 9044293472 |
| Mailing Telephone | 9044294422 |
| Mailing Fax Number | 9044293472 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | TIM JOHNSON (CEO) |
| Authorized Official Telephone | 9044294422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
340 16TH AVE N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32250-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245780220 | United Recovery Coast | Clinic/Center | 340 16th Ave N, Jacksonville, FL 32250-4819 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1982081352 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-05 |
| 1760548184 | Lakeview Health Systems, LLC | Substance Abuse Rehabilitation Facility | 1900 Corporate Square Ct., Jacksonville, FL 32216 | 2006-12-29 |
| 1508922931 | Stepping Stone Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1815 Corporate Square Blvd, Jacksonville, FL 32216-0325 | 2006-12-29 |
| 1205933561 | Wells Center Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Avenue, Jacksonville, IL 62650 | 2006-09-20 |
| 1356305338 | Gateway Community Services Inc | Substance Abuse Rehabilitation Facility | 555 Stockton St, Jacksonville, FL 32204-2534 | 2006-04-14 |
| 1235629379 | Human Services Council | Substance Abuse Rehabilitation Facility | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-15 |
| 1811499114 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2018-03-02 |
| 1316325962 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on RECOVERY COAST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.