Coastal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COASTAL CARE LLC

Practice address

75 Bishop St # 13
Portland, ME 04103-2614

Phone

(408) 202-2400

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kamil Aweis Suja

Title

Owner

Phone

(408) 202-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1124896196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BISHOP ST # 13",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032614",
            "telephone_number": "408-202-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BISHOP ST # 13",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032614",
            "telephone_number": "408-202-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "SUJA",
        "authorized_official_first_name": "KAMIL",
        "authorized_official_middle_name": "AWEIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-202-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Cloutier, LMSW-CC
• Joann Cloutier
• Paula Cluney, ND
• Susan Coan, LCPC
• Coastal Behavioral Health, LLC
• Coastal Maine Counseling LLC
• Coastal Pharmacy LLC
• Gillian Coates, MD
• Roy A Cobean, MD
• Denise Mary Cobleigh, PTA

• All providers in Portland, ME
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.