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BEACHES RECOVERY SERVICES LLC
NPI 1073907937
Clinic/Center - Multi-Specialty in Jacksonville Beach, FL

Active since March 27, 2015
75 12TH ST S, JACKSONVILLE BEACH, FL 32250(904) 685-9083(904) 485-8427 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2024, Dec 19, 2019, Jan 26, 2016 (3 updates tracked since 2016).

About Beaches Recovery Services Llc NPPES

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

BEACHES RECOVERY SERVICES LLC (NPI 1073907937) is a healthcare organization registered as a multi-specialty in Jacksonville Beach, Florida and active in the NPI registry since March 2015. The organization lists Sam Darcy, Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1073907937
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBEACHES RECOVERY SERVICES LLC
Location Address75 12TH ST SJacksonville Beach, FL 32250-3422
Mailing Address75 12th St SJacksonville Beach, FL 32250-3422 · (904) 685-9083
Phone(904) 685-9083
Fax(904) 485-8427
Organization SubpartNo
Authorized OfficialSam DarcyCompliance Director · (575) 779-2456
Enumeration DateMarch 27, 2015
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1073907937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
75 12TH ST S, Jacksonville Beach, FL 32250
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TIDES EDGE RECOVERY SERVICES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
75 12TH ST S
JACKSONVILLE BEACH, FL 32250
Duval County (904) 685-9083

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 Beaches Recovery Services LLC's NPI number?

The NPI number for Beaches Recovery Services LLC is 1073907937. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is Beaches Recovery Services LLC located?

Beaches Recovery Services LLC is located at 75 12th St S, Jacksonville Beach, FL 32250. The listed phone number is (904) 685-9083.

What is Beaches Recovery Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Beaches Recovery Services LLC was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.