TIDAL WAVE RECOVERY CENTER LLC
NPI 1114867934
Clinic/Center - Rehabilitation, Substance Use Disorder in Philadelphia, PA

Active since March 31, 2026
3396 MILLER ST, PHILADELPHIA, PA 19134(215) 901-3512 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidal Wave Recovery Center Llc NPPES

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

TIDAL WAVE RECOVERY CENTER LLC (NPI 1114867934) is a healthcare organization registered as a rehabilitation, substance use disorder in Philadelphia, Pennsylvania and active in the NPI registry since March 2026. The organization lists Mark Francis Werner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114867934
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTIDAL WAVE RECOVERY CENTER LLC
Location Address3396 MILLER STPhiladelphia, PA 19134-5325
Mailing Address3396 Miller StPhiladelphia, PA 19134-5325 · (215) 901-3512
Organization SubpartNo
Authorized OfficialMark Francis WernerCeo · (215) 370-3646
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
NPI 1114867934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
3396 MILLER ST, Philadelphia, PA 19134

Other Providers at the Same Location NPPES 3

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

Substance Abuse Rehabilitation Facility
3396 MILLER ST
PHILADELPHIA, PA 19134
Substance Abuse Rehabilitation Facility
3396 MILLER ST
PHILADELPHIA, PA 19134
Clinic/Center (Rehabilitation, Substance Use Disorder)
3396 MILLER ST
PHILADELPHIA, PA 19134

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 Tidal Wave Recovery Center LLC's NPI number?

The NPI number for Tidal Wave Recovery Center LLC is 1114867934. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Tidal Wave Recovery Center LLC located?

Tidal Wave Recovery Center LLC is located at 3396 Miller St, Philadelphia, PA 19134. The listed phone number is (215) 901-3512.

What is Tidal Wave Recovery Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tidal Wave Recovery Center LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.