NPIMap

Organization Active NPI

Coastline Care Services, LLC

Doing business as Griswold Home Care for Greater Newport Beach

  • In Home Supportive Care Agency
  • Irvine, CA
National Provider Identifier
1083495949
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COASTLINE CARE SERVICES, LLC
Doing business as
Griswold Home Care for Greater Newport Beach
Practice address
2152 Dupont Dr Ste 275
Irvine, CA 92612-1354
Phone
(949) 996-8848
Fax
(949) 996-8848
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Dr. Albert David Penney, MDNPI 1083680847
Title
Owner
Phone
(949) 996-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2152 Dupont Dr Ste 275
Irvine, CA 92612-1354

Mailing address

2152 Dupont Dr Ste 275
Irvine, CA 92612-1354
Phone (949) 996-8848

Other names 1

  • Griswold Home Care for Greater Newport Beach Doing business as

National Provider Directory

National Provider Directory

Locations

2152 DuPont Dr
Ste 275
Irvine, CA 92612
Phone (949) 996-8848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1083495949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 DUPONT DR STE 275",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121354",
            "telephone_number": "949-996-8848",
            "fax_number": "949-996-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 DUPONT DR STE 275",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121354",
            "telephone_number": "949-996-8848",
            "fax_number": "949-996-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-996-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care for Greater Newport Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Griswold Home Care for Greater Newport Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.