THE WAVE OF CLEARWATER – NPI #1992284285
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

THE WAVE OF CLEARWATER is a community based residential treatment facility located in CLEARWATER, FL. NPPES has assigned the NPI number 1992284285 to THE WAVE OF CLEARWATER on August 08, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE WAVE OF CLEARWATER” is a dba name, the actual legal business name for this organization is COASTAL TREATMENT CENTER, CLEARWATER LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 7 years ago on Jun 13, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE WAVE OF CLEARWATER below.

NPI Profile for
COASTAL TREATMENT CENTER, CLEARWATER LLC

NPI Number
1992284285
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL TREATMENT CENTER, CLEARWATER LLC
Doing Business As (dba): THE WAVE OF CLEARWATER
Primary location
2120 RANGE RD
CLEARWATER, FL 33765
Phone: (727) 205-7077 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER FOX
PRESIDENT
Phone: (310) 547-7501
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.