COASTAL DETOX, INC – Substance Abuse Rehabilitation Facility, NPI 1598130098

COASTAL DETOX, INC is a healthcare provider. based in Palm city, Florida. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for COASTAL DETOX, INC is 1598130098

Main info

Organization
Name
COASTAL DETOX, INC
NPI
1598130098
Phone
Not provided
Address
3007 SW MARTIN DOWNS BLVD
Authorized Official
CHRISTINA TUCKER CHIEF EXECUTIVE OFFICER
Enumeration Date
9 December 2015
Last Update Date
1 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for COASTAL DETOX, INC

  • 3007 SW MARTIN DOWNS BLVD

    PALM CITY, FL 349902644

    Phone:

    Type: Mailing

  • 1131 SE INDIAN ST

    STUART, FL 349975688

    Phone: (772) 612-0130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (21 days away).

Enrollment records

1

Earliest due date

2026-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200828001136OOpioid Treatment Program (Otp)FL2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34990)

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Reviews

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Frequently asked questions

Does COASTAL DETOX, INC have a public NPI I can cite?
Public records show COASTAL DETOX, INC under NPI 1598130098.
Is COASTAL DETOX, INC currently accepting referrals based on NPI status?
Registry metadata lists COASTAL DETOX, INC as active.
What does the directory say COASTAL DETOX, INC does?
Insurance directories may phrase it differently, but here COASTAL DETOX, INC maps to Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Is COASTAL DETOX, INC tied to Palm City, Florida?
If you are local to Palm City, Florida, COASTAL DETOX, INC may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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