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RECOVERY COAST
NPI 1780134874
Substance Abuse Rehabilitation Facility in Jacksonville, FL

Active since October 12, 2016
340 16TH AVE N, JACKSONVILLE, FL 32250(904) 429-4422(904) 429-3472 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Recovery Coast NPPES

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

RECOVERY COAST (NPI 1780134874) is a healthcare organization registered as a substance abuse rehabilitation facility in Jacksonville, Florida and active in the NPI registry since October 2016. The organization lists Tim Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780134874
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRECOVERY COAST
Location Address340 16TH AVE NJacksonville, FL 32250-4819
Mailing Address340 16th Ave NJacksonville, FL 32250-4819 · (904) 429-4422 · Fax (904) 429-3472
Phone(904) 429-4422
Fax(904) 429-3472
Organization SubpartNo
Authorized OfficialTim JohnsonCeo · (904) 429-4422
Enumeration DateOctober 12, 2016
✔ NPI 1780134874 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.
340 16TH AVE N, Jacksonville, FL 32250
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Other Providers at the Same Location NPPES 5

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

JANET S MOULTON INC
Speech-Language Pathologist
340 16TH AVE N, STE B
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-8893
MRS. MEGHAN ANDERSON A.R.N.P.
Nurse Practitioner (Family)
340 16TH AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-1911
UNITED RECOVERY COAST
Clinic/Center (Rehabilitation)
340 16TH AVE N
JACKSONVILLE, FL 32250
Duval County (904) 429-4422
MILLICENT TANNER R.D.,C.D.E.
Dietitian, Registered
340 16TH AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-1911
UNITED RECOVERY CENTERS LLC
Substance Abuse Rehabilitation Facility
340 16TH AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (305) 467-8666

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 Recovery Coast's NPI number?

The NPI number for Recovery Coast is 1780134874. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Recovery Coast located?

Recovery Coast is located at 340 16th Ave N, Jacksonville, FL 32250. The listed phone number is (904) 429-4422.

What is Recovery Coast's specialty?

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

When was this NPI record last updated?

The NPPES record for Recovery Coast was last updated on October 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.