NPIMap

Organization Active NPI

Gulf Coast Treatment Center, Inc.

  • Custodial Care Facility
  • Crestview, FL
National Provider Identifier
1457580276
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
GULF COAST TREATMENT CENTER, INC.
Practice address
4449 Straight Line Rd
Crestview, FL 32539-6720
Phone
(850) 863-4160
Fax
(850) 863-8576
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey M Kaplan
Title
Ceo
Phone
(850) 863-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

4449 Straight Line Rd
Crestview, FL 32539-6720

Mailing address

4449 Straight Line Rd
Crestview, FL 32539-6720
Phone (850) 863-4160

Other names 1

  • Okaloosa Youth Development Center Sex Offender Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Youth Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4449 Straight Line Rd
Crestview, FL 32539
Phone (850) 683-3900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1457580276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STRAIGHT LINE RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396720",
            "telephone_number": "850-863-4160",
            "fax_number": "850-863-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STRAIGHT LINE RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396720",
            "telephone_number": "850-863-4160",
            "fax_number": "850-863-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-863-4160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okaloosa Youth Development Center Sex Offender Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.