TIDES EDGE RECOVERY SERVICES, LLC
NPI 1891529871
Substance Abuse Rehabilitation Facility in Jacksonville Beach, FL

Active since August 30, 2024
142 11TH AVE N STE A, JACKSONVILLE BEACH, FL 32250(904) 685-9083 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tides Edge Recovery Services, Llc NPPES

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

TIDES EDGE RECOVERY SERVICES, LLC (NPI 1891529871) is a healthcare organization registered as a substance abuse rehabilitation facility in Jacksonville Beach, Florida and active in the NPI registry since August 2024. The organization lists Patricia Yost, Vice President, as its authorized official.

NPPES Registry Identity

NPI1891529871
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTIDES EDGE RECOVERY SERVICES, LLC
Location Address142 11TH AVE N STE AJacksonville Beach, FL 32250-7224
Mailing Address75 12th St SJacksonville, FL 32250-3422
Organization SubpartNo
Authorized OfficialPatricia YostVice President · (904) 778-6161
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
NPI 1891529871 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.
142 11TH AVE N STE A, Jacksonville Beach, FL 32250

Accepted Insurance

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 Tides Edge Recovery Services, LLC's NPI number?

The NPI number for Tides Edge Recovery Services, LLC is 1891529871. It was assigned to this organization in the NPPES registry on August 30, 2024.

Where is Tides Edge Recovery Services, LLC located?

Tides Edge Recovery Services, LLC is located at 142 11th Ave N Ste A, Jacksonville Beach, FL 32250. The listed phone number is (904) 685-9083.

What is Tides Edge Recovery Services, LLC's specialty?

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

What insurance does Tides Edge Recovery Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tides Edge Recovery Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tides Edge Recovery Services, LLC was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.