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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: August 16, 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.

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
MRS. CYNTHIA DIANNE ROBERTS LMHC
Counselor (Mental Health)
160 CYPRESS POINT PKWY
PALM COAST, FL 32164
Flagler County (386) 585-4645
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
JENNIFER DOBRITCH
Counselor (Mental Health)
160 CYPRESS POINT PKWY
PALM COAST, FL 32164
Flagler County (614) 702-6623

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 Palm Coast Recovery Center LLC's NPI number?

The NPI number for Palm Coast Recovery Center LLC is 1477013696. It was assigned to this organization in the NPPES registry on March 22, 2019.

Where is Palm Coast Recovery Center LLC located?

Palm Coast Recovery Center LLC is located at 160 Cypress Point Pkwy, Palm Coast, FL 32164. The listed phone number is (386) 986-6498.

What is Palm Coast Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Palm Coast Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2166818) is associated with this NPI, valid through May 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palm Coast Recovery Center LLC was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.