Coastal Community Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

194700062 Issued in CA

Legal business name

COASTAL COMMUNITY SENIOR CARE, LLC

Practice address

5500 E Atherton St
Suite 216
Long Beach, CA 90815-4016

Phone

(562) 596-4884

Fax

(562) 596-7334

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Don Pierce II

Title

President

Phone

(562) 696-4884

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1043763071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST",
            "address_2": "SUITE 216",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154016",
            "telephone_number": "562-596-4884",
            "fax_number": "562-596-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST",
            "address_2": "SUITE 216",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154016",
            "telephone_number": "562-596-4884",
            "fax_number": "562-596-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMMUNITY SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-696-4884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "194700062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Rae Coates, LVN
• Stephen Anthony Coates, D.D.S.

• In Home Supportive Care Agency in Long Beach, CA
• Providers in Long Beach, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.