Organization Active NPI

Coastal Horizons Center Inc

  • Community/Behavioral Health Agency
  • Rocky Point, NC
National Provider Identifier
1063082592
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTAL HORIZONS CENTER INC
Practice address
7910 US Hwy 117 S
Rocky Point, NC 28457-9431
Phone
(910) 343-0145
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Lindsay Lindsay Joines
Title
Qi Training Dir./Otp Sponsor
Phone
(910) 685-0283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7910 US Hwy 117 S
Rocky Point, NC 28457-9431

Mailing address

7910 US Hwy 117 S
Rocky Point, NC 28457-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 22, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080429000046 NC Part B Supplier - Clinic/Group Practice 9739267964 Receives reassigned benefits from 89 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burgaw, NC; Rocky Point, NC; Shallotte, NC; Wilmington, NC
O20200403003105 NC Part B Supplier - Opioid Treatment Program (Otp) 9739267964 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rocky Point, NC; Shallotte, NC; Wilmington, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Coastal Car56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1414 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-7363

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1063082592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 US HWY 117 S",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284579431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 US HWY 117 S",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284579431",
            "telephone_number": "910-343-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HORIZONS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "JOINES",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "QI TRAINING DIR./OTP SPONSOR",
        "authorized_official_telephone_number": "910-685-0283"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.