COASTAL GARDENS RECOVERY CENTER LLC
NPI 1598509812
Substance Abuse Rehabilitation Facility in Fort Myers, FL

Active since June 21, 2024CLIA 10D2328076 · Waiver
3625 HIDDEN TREE LN, FORT MYERS, FL 33901(239) 666-1847 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Coastal Gardens Recovery Center Llc NPPES

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

COASTAL GARDENS RECOVERY CENTER LLC (NPI 1598509812), doing business as Oasis Recovery Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Fort Myers, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Raanan Dvir, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598509812
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOASTAL GARDENS RECOVERY CENTER LLC
Location Address3625 HIDDEN TREE LNFort Myers, FL 33901-8388
Mailing Address3625 Hidden Tree LnFort Myers, FL 33901-8388 · (239) 666-1847
Organization SubpartNo
Authorized OfficialRaanan DvirCeo · (203) 606-5984
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1598509812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3625 HIDDEN TREE LN, Fort Myers, FL 33901

Other Names 1

Doing Business AsOasis Recovery Center

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 10D2328076

Coastal Gardens Recovery Center LLC · Fort Myers, FL
Active · expires Aug 4, 2027
CLIA Number10D2328076
Laboratory TypeSud/Detox And Residential
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorSamuel A. Amen
Laboratory Phone(239) 443-9600
Laboratory LocationCoastal Gardens Recovery Center LLC3625 Hidden Tree Ln, Fort Myers, FL 33901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
3625 HIDDEN TREE LN
FORT MYERS, FL 33901
Assisted Living Facility
3625 HIDDEN TREE LN
FORT MYERS, FL 33901

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 Coastal Gardens Recovery Center LLC's NPI number?

The NPI number for Coastal Gardens Recovery Center LLC is 1598509812. It was assigned to this organization in the NPPES registry on June 21, 2024. The provider is doing business as Oasis Recovery Center.

Where is Coastal Gardens Recovery Center LLC located?

Coastal Gardens Recovery Center LLC is located at 3625 Hidden Tree Ln, Fort Myers, FL 33901. The listed phone number is (239) 666-1847.

What is Coastal Gardens Recovery Center LLC's specialty?

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

Does Coastal Gardens Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328076) is associated with this NPI, valid through August 4, 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 Coastal Gardens Recovery Center LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.