COASTAL RECOVERY – NPI #1386869337
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
COASTAL RECOVERY is a substance abuse rehabilitation facility located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1386869337 to COASTAL RECOVERY on April 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL RECOVERY” is a dba name, the actual legal business name for this organization is COASTAL RECOVERY & WELLNESS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was previously updated about 3 years ago on Oct 27, 2023. 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 COASTAL RECOVERY below.
NPI Profile for
COASTAL RECOVERY & WELLNESS, LLC
(more than 19 years ago)
SUITE 100
MYRTLE BEACH, SC 29577 Phone: (843) 449-6261 Fax: (843) 449-8171
CEO
Phone: (843) 449-6261
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
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.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
||
| 261QR0405X - Clinic/Center / Rehabilitation, Substance Use Disorder |
||
| 101YA0400X - Counselor / Addiction (Substance Use Disorder) |
SC | DHEC OTP-092 |
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.