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Tides Edge Recovery Services, LLC

Substance Abuse Rehabilitation Facility in Jacksonville Beach, FL · enumerated 2017 · authorized official Patricia Yost, Ceo.

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

National Provider Identifier

1568985406

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Registry record

Entity type Organization (Type 2)
Legal business name Tides Edge Recovery Services, LLC
Practice address 1597 the Greens Way, Jacksonville Beach, FL, 32250
Phone (904) 685-9083
Enumeration date Jul 24, 2017
Last updated in NPPES May 12, 2026

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 1601 (FL) Primary

Authorized official

Name Patricia Yost
Title Ceo
Phone (904) 236-5999

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.

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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 Tides Edge Recovery Services, LLC?
Tides Edge Recovery Services, LLC is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-12.