OrganizationActive
Recovery Coast
NPI 1780134874 · Substance Abuse Rehabilitation Facility · Jacksonville, FL
Provider details
- NPI number
- 1780134874
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tim Johnson, Ceo(904) 429-4422
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
340 16th Ave N
Jacksonville, FL 32250-4819
Phone: (904) 429-4422
Fax: (904) 429-3472
Street-level locationGet directions
Mailing address
340 16th Ave N
Jacksonville, FL 32250-4819
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2016-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.