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PALM COAST RECOVERY CENTER LLC
NPI 1477013696
Substance Abuse Rehabilitation Facility in Palm Coast, FL

Active since March 22, 2019CLIA 10D2166818 · Waiver
160 CYPRESS POINT PKWY, PALM COAST, FL 32164(386) 986-6498 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2022, Mar 23, 2021, Mar 22, 2019 (3 updates tracked since 2019).

About Palm Coast Recovery Center Llc NPPES

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

PALM COAST RECOVERY CENTER LLC (NPI 1477013696) is a healthcare organization registered as a substance abuse rehabilitation facility in Palm Coast, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Zachary Miller, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1477013696
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePALM COAST RECOVERY CENTER LLC
Location Address160 CYPRESS POINT PKWYPalm Coast, FL 32164-8433
Mailing Address160 Cypress Point PkwyPalm Coast, FL 32164-8433 · (386) 986-6498
Phone(386) 986-6498
Organization SubpartNo
Authorized OfficialZachary MillerClinical Director · (386) 986-6498
Enumeration DateMarch 22, 2019
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1477013696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
160 CYPRESS POINT PKWY, Palm Coast, FL 32164
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CLIA Laboratory Certificates CMS CLIA

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 10D2166818

Palm Coast Recovery Center · Palm Coast, FL
Active · expires May 27, 2027
CLIA Number10D2166818
Laboratory TypeSubst. Abuse Facility
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorSheila J. Pynes
Laboratory Phone(386) 986-6498
Laboratory LocationPalm Coast Recovery Center160 Cypress Point Pkwy Ste B201, Palm Coast, FL 32164
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

REBECCA A FAUNCE DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
160 CYPRESS POINT PKWY, # D-217
PALM COAST, FL 32164
Flagler County (386) 446-9312
LIFETHYME CAFE & WELLNESS
Massage Therapist
160 CYPRESS POINT PKWY, UNIT A105
PALM COAST, FL 32164
Flagler County (386) 597-2838
MRS. HEATHER MARIE CURRY HIS
Hearing Instrument Specialist
160 CYPRESS POINT PKWY, STE A108
PALM COAST, FL 32164
Flagler County (386) 283-4932
DR. NINA M MOYER PHD
Counselor (Addiction (Substance Use Disorder))
160 CYPRESS POINT PKWY
PALM COAST, FL 32164
Flagler County (904) 662-7800
JENNIFER DOBRITCH
Counselor (Mental Health)
160 CYPRESS POINT PKWY
PALM COAST, FL 32164
Flagler County (614) 702-6623
MRS. CYNTHIA DIANNE ROBERTS LMHC
Counselor (Mental Health)
160 CYPRESS POINT PKWY
PALM COAST, FL 32164
Flagler County (386) 585-4645

Frequently Asked Questions

What is PALM COAST RECOVERY CENTER LLC's NPI number?

The NPI number assigned to this healthcare provider is 1477013696, enumerated as an "organization" on March 22, 2019.

Where is the provider located?

The provider is located at 160 CYPRESS POINT PKWY PALM COAST, FL 32164 and the phone number is (386) 986-6498.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.