CORAL BAY RECOVERY LLC
NPI 1003313131
Clinic/Center - Rehabilitation, Substance Use Disorder in Lighthouse Point, FL

Active since April 05, 2018CLIA 10D2173227 · Waiver
3170 N FEDERAL HWY STE 206E, LIGHTHOUSE POINT, FL 33064(754) 444-1458 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2025, Oct 2, 2024, Sep 6, 2019 (3 updates tracked since 2019).

About Coral Bay Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORAL BAY RECOVERY LLC (NPI 1003313131) is a healthcare organization registered as a rehabilitation, substance use disorder in Lighthouse Point, Florida and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Mark Jacobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003313131
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCORAL BAY RECOVERY LLC
Location Address3170 N FEDERAL HWY STE 206ELighthouse Point, FL 33064-6720
Mailing Address3170 N Federal Hwy Ste 204aLighthouse Point, FL 33064-6736 · (954) 552-5100
Organization SubpartNo
Authorized OfficialMark JacobsonCeo · (954) 552-5100
Enumeration DateApril 5, 2018
Last NPPES UpdateJanuary 21, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1003313131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
3170 N FEDERAL HWY STE 206E, Lighthouse Point, FL 33064

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2173227

Coral Bay Recovery LLC · Lighthouse Point, FL
Active · expires Oct 7, 2027
CLIA Number10D2173227
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorMark E. Jacobson
Laboratory Phone(754) 444-1458
Laboratory LocationCoral Bay Recovery LLC3170 N Federal Hwy Ste 206E, Lighthouse Point, FL 33064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3170 N FEDERAL HWY STE 206E
LIGHTHOUSE POINT, FL 33064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coral Bay Recovery LLC's NPI number?

The NPI number for Coral Bay Recovery LLC is 1003313131. It was assigned to this organization in the NPPES registry on April 5, 2018.

Where is Coral Bay Recovery LLC located?

Coral Bay Recovery LLC is located at 3170 N Federal Hwy Ste 206E, Lighthouse Point, FL 33064. The listed phone number is (754) 444-1458.

What is Coral Bay Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Coral Bay Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2173227) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coral Bay Recovery LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Coral Bay Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coral Bay Recovery LLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.