Tidal Wave Recovery Center LLC
NPI 1114867934 · Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
Tidal Wave Recovery Center LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Philadelphia, PA (NPI 1114867934).
Provider details
- NPI number
- 1114867934
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Werner, Ceo(215) 370-3646
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-31
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Tidal Wave Recovery Center LLC's NPI number?
- Tidal Wave Recovery Center LLC's National Provider Identifier (NPI) is 1114867934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidal Wave Recovery Center LLC?
- Tidal Wave Recovery Center LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tidal Wave Recovery Center LLC located?
- Tidal Wave Recovery Center LLC's practice location on file with NPPES is 3396 Miller St, Philadelphia, PA 19134-5325.
- What is Tidal Wave Recovery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidal Wave Recovery Center LLC is (215) 901-3512.
- Who is the authorized official for Tidal Wave Recovery Center LLC?
- The authorized official listed on Tidal Wave Recovery Center LLC's NPPES record is Mark Werner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidal Wave Recovery Center LLC's NPI active?
- Yes — Tidal Wave Recovery Center LLC's NPI (1114867934) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.