GULF COAST YOUTH SERVICES NPI 1407073620

NPI Information

  • NPI: 1407073620
  • Provider Name: GULF COAST YOUTH SERVICES
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • Doing Business As: GULF COAST YOUTH ACADEMY
  • Address: 1015 MAR WALT DR
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 863-4160

Map and Directions

Get Directions

NPI Details

GULF COAST YOUTH SERVICES is a custodial care facility in Fort Walton Beach, FL. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. GULF COAST YOUTH SERVICES NPI is 1407073620. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Youth Academy.

The provider's business location address is:

1015 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-738
Phone: (850) 863-4160
Fax: (850) 863-8576

The provider's authorized official is Jeffrey Kaplan .
The authorized official title is Ceo and has the following contact phone number (850) 863-4160.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311Z00000XCustodial Care Facility260390701652FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI