Coastal Oaks Homecare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211232 Issued in FL

Legal business name

COASTAL OAKS HOMECARE INC

Practice address

3869 S Nova Rd
Unit 2
Port Orange, FL 32127-4246

Phone

(386) 322-9375

Fax

(386) 761-7804

NPI assigned

Oct 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra E Yates

Title

Director

Phone

(386) 322-9375

Specialties & licenses 1

Addresses

Other names 1

• The Volusia County Office of Griswold Special Care Doing business as

Locations

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1104151000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 S NOVA RD",
            "address_2": "UNIT 2",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274246",
            "telephone_number": "386-322-9375",
            "fax_number": "386-761-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 S NOVA RD",
            "address_2": "UNIT 2",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274246",
            "telephone_number": "386-322-9375",
            "fax_number": "386-761-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OAKS HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-322-9375",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Volusia County Office of Griswold Special Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ronald Michael Coblentz
• Jason Thomas Coe, D.C.
• Antonio Coffa

• In Home Supportive Care Agency in Port Orange, FL
• Providers in Port Orange, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.