Tides Edge Recovery Services LLC
NPI 1790519775 · Substance Abuse Rehabilitation Facility · Jacksonville Beach, FL
Tides Edge Recovery Services LLC is a Substance Abuse Rehabilitation Facility organization in Jacksonville Beach, FL (NPI 1790519775).
Provider details
- NPI number
- 1790519775
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Patricia Yost, Vice President(904) 778-6161
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Frequently asked questions
- What is Tides Edge Recovery Services LLC's NPI number?
- Tides Edge Recovery Services LLC's National Provider Identifier (NPI) is 1790519775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tides Edge Recovery Services LLC?
- Tides Edge Recovery Services LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Tides Edge Recovery Services LLC located?
- Tides Edge Recovery Services LLC's practice location on file with NPPES is 146 11th Ave N, Jacksonville Beach, FL 32250-7224.
- What is Tides Edge Recovery Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Tides Edge Recovery Services LLC is (904) 685-9083.
- Who is the authorized official for Tides Edge Recovery Services LLC?
- The authorized official listed on Tides Edge Recovery Services LLC's NPPES record is Patricia Yost, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tides Edge Recovery Services LLC's NPI active?
- Yes — Tides Edge Recovery Services LLC's NPI (1790519775) is active in the NPPES registry as of the last update on 2024-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.