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EVENING TIDE OF BREVARD, LLC
NPI 1184087694
Home Health in Cocoa Beach, FL

Active since April 01, 2016
100 N ORLANDO AVE, COCOA BEACH, FL 32931(321) 613-4569(321) 613-0217 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evening Tide Of Brevard, Llc NPPES

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

EVENING TIDE OF BREVARD, LLC (NPI 1184087694) is a healthcare organization registered as a home health in Cocoa Beach, Florida and active in the NPI registry since April 2016. The organization lists Steven Douglas Tracy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184087694
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEVENING TIDE OF BREVARD, LLC
Location Address100 N ORLANDO AVECocoa Beach, FL 32931-2915
Mailing Address100 N Orlando AveCocoa Beach, FL 32931-2915 · (321) 613-4569 · Fax (321) 613-0217
Phone(321) 613-4569
Fax(321) 613-0217
Organization SubpartNo
Authorized OfficialSteven Douglas TracyExecutive Director · (435) 760-4091
Enumeration DateApril 1, 2016
✔ NPI 1184087694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
100 N ORLANDO AVE, Cocoa Beach, FL 32931
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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 Evening Tide Of Brevard, LLC's NPI number?

The NPI number for Evening Tide Of Brevard, LLC is 1184087694. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Evening Tide Of Brevard, LLC located?

Evening Tide Of Brevard, LLC is located at 100 N Orlando Ave, Cocoa Beach, FL 32931. The listed phone number is (321) 613-4569.

What is Evening Tide Of Brevard, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Evening Tide Of Brevard, LLC was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.