Palm Coast Recovery Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PALM COAST RECOVERY CENTER LLC

Practice address

160 Cypress Point Pkwy
Palm Coast, FL 32164-8433

Phone

(386) 986-6498

NPI assigned

Mar 22, 2019

Last updated

May 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Miller, MCAPNPI 1750736955

Title

Clinical Director

Phone

(386) 986-6498

Specialties & licenses 2

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Miller, LMHC, MCAP

  • Mental Health Counselor
  • Palm Coast, FL
  • NPI 1750736955
  NPD Authorized official

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1477013696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648433",
            "telephone_number": "386-986-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648433",
            "telephone_number": "386-986-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "386-986-6498",
        "authorized_official_credential": "MCAP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zmiller@palmcoastrc.com",
            "affiliation": "N",
            "endpointDescription": "zmiller@palmcoastrc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "160 Cypress Point Pkwy",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321648433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Palm Coast Internal Medicine PA
• Palm Coast Mobile Physical Therapy Services
• Palm Coast Oncology
• Palm Coast Optical Co. Inc.
• Palm Coast Pkwy Opco LLC (Aviata at Grand Oaks)
• Palm Coast Sports Medicine and Rehab
• Palm Coast Surgery Center LLC
• Palm Harbor Family Practice and Walk in Clinic PA
• Palm Harbor Orthopedics PA
• Palm Tree Podiatry PLLC (Palm Tree Podiatry)

• Substance Abuse Rehabilitation Facility in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.