Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tidal Wave Recovery Center LLC

Q: What type of organization is Tidal Wave Recovery Center LLC?

Tidal Wave Recovery Center LLC is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

Substance Use Disorder Rehabilitation Clinic/Center in Philadelphia, PA · enumerated 2026 · authorized official Mark Werner, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114867934

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Tidal Wave Recovery Center LLC

Practice address 3396 Miller St, Philadelphia, PA, 19134

Phone (215) 901-3512

Enumeration date Mar 31, 2026

Last updated in NPPES Mar 31, 2026

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

Authorized official

Name Mark Werner

Title Ceo

Phone (215) 370-3646

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Tidal Wave Recovery Center LLC?

Tidal Wave Recovery Center LLC is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-31.