TIDES EDGE RECOVERY SERVICES LLC
NPI 1295549806
Clinic/Center - Rehabilitation, Substance Use Disorder in Jacksonville Beach, FL

Q: What is Tides Edge Recovery Services LLC's NPI number?

The NPI number for Tides Edge Recovery Services LLC is 1295549806. It was assigned to this organization in the NPPES registry on February 4, 2025.

Q: What is Tides Edge Recovery Services LLC's specialty?

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

Active since February 04, 2025CLIA Certified · 2 labs

75 12TH ST S, JACKSONVILLE BEACH, FL 32250(904) 685-9083 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Tides Edge Recovery Services Llc NPPES

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

TIDES EDGE RECOVERY SERVICES LLC (NPI 1295549806) is a healthcare organization registered as a rehabilitation, substance use disorder in Jacksonville Beach, Florida and active in the NPI registry since February 2025. The organization holds 2 active CLIA laboratory certificates and lists Patricia Yost, President, as its authorized official.

NPPES Registry Identity

NPI1295549806

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameTIDES EDGE 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

Organization SubpartNo

Authorized OfficialPatricia YostPresident · (904) 778-6161

Enumeration DateFebruary 4, 2025

NPPES CertifiedFebruary 4, 2025

✔ NPI 1295549806 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

75 12TH ST S, Jacksonville Beach, FL 32250

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2104529

Tides Edge Recovery Services LLC · Jacksonville Beach, FL

Active · expires Nov 5, 2027

CLIA Number10D2104529

Laboratory TypePhysician Office

Certificate Effective DateNovember 6, 2025

Certificate Expiration DateNovember 5, 2027

Laboratory DirectorAndrea M. Trescot

Laboratory Phone(904) 778-6161

Laboratory LocationTides Edge Recovery Services LLC75 12th St S, Jacksonville Beach, FL 32250

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2132120

Tides Edge Recovery Services, LLC · Jacksonville, FL

Active · expires Jun 12, 2027

CLIA Number10D2132120

Laboratory TypePhysician Office

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorAndrea Trescot

Laboratory Phone(904) 778-6161

Laboratory LocationTides Edge Recovery Services, LLC1597 The Greens Way, Jacksonville, FL 32250

CLIA data matches this NPI record on: 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.

BEACHES RECOVERY SERVICES LLC

Clinic/Center (Multi-Specialty)

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 Tides Edge Recovery Services LLC's NPI number?

The NPI number for Tides Edge Recovery Services LLC is 1295549806. It was assigned to this organization in the NPPES registry on February 4, 2025.

Where is Tides Edge Recovery Services LLC located?

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

What is Tides Edge Recovery Services LLC's specialty?

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

Does Tides Edge Recovery Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tides Edge Recovery Services LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tides Edge Recovery Services 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 Tides Edge Recovery Services LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.