Coastal Carolina Concierge Service

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

COASTAL CAROLINA CONCIERGE SERVICE

Practice address

3942 Market St
Wilmington, NC 28403-1488

Phone

(910) 616-7718

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Evan T MannNPI 1699436683

Title

President

Phone

(910) 616-7718

Specialties & licenses 2

Addresses

Tax ID family

Coastal Carolina Concierge Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Carolina Concierge Service

  • Non-emergency Medical Transport (VAN)
  • Wilmington, NC
  • NPI 1255916524
  NPD tax ID

Locations

Practitioners 1

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

• Evan T Mann

  • Non-emergency Medical Transport (VAN)
  • Wilmington, NC
  • NPI 1699436683
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1114688702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 TREY CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033718",
            "telephone_number": "109-616-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031488",
            "telephone_number": "910-616-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA CONCIERGE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-616-7718"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Cape Fear Eye Associates, PA
• Coastal Car
• Coastal Cardiology Associates, PA
• Coastal Cardiovascular Associates, PA
• Coastal Carolina Behavioral Healthcare, LLC
• Coastal Carolina Concierge Service
• Coastal Carolina Eye Clinic PA
• Coastal Carolina Eye Clinic, PA
• Coastal Carolina Foot & Ankle Associates PA
• Coastal Carolina Heart LLC

• Non-emergency Medical Transport (VAN) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.