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GULF COAST YOUTH ACADEMY
NPI 1407073620
Custodial Care Facility in Fort Walton Beach, FL

Active since April 19, 2007
1015 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-4160(850) 863-8576 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gulf Coast Youth Academy NPPES

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

GULF COAST YOUTH ACADEMY (NPI 1407073620) is a healthcare organization registered as a custodial care facility in Fort Walton Beach, Florida and active in the NPI registry since April 2007. The organization lists Jeffrey Kaplan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407073620
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameGULF COAST YOUTH SERVICES
Location Address1015 MAR WALT DRFort Walton Beach, FL 32547-6738
Mailing Address1015 Mar Walt DrFort Walton Beach, FL 32547-6738 · (850) 863-4160 · Fax (850) 863-8576
Phone(850) 863-4160
Fax(850) 863-8576
Organization SubpartNo
Authorized OfficialJeffrey KaplanCeo · (850) 863-4160
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407073620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License✔ Licensed in FL · 260390701652
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
1015 MAR WALT DR, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsGulf Coast Youth Academy

Other Providers at the Same Location NPPES 4

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

META MENTAL HEALTH, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1015 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-4160
MS. ANN ADAMS LMHC
Counselor (Mental Health)
1015 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 259-9299
HOWLAND HIRAM ELLIS
Social Worker (Clinical)
1015 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 259-9501
JULIA HALL TAYLOR ISW, MSW
Social Worker (Clinical)
1015 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-4160

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 Gulf Coast Youth Services's NPI number?

The NPI number for Gulf Coast Youth Services is 1407073620. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Gulf Coast Youth Academy.

Where is Gulf Coast Youth Services located?

Gulf Coast Youth Services is located at 1015 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-4160.

What is Gulf Coast Youth Services's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Youth Services was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.