Organization Active NPI

Coastal Home Health Care, Inc

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1174861512
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COASTAL HOME HEALTH CARE, INC
Practice address
4359 Rittiman Rd
San Antonio, TX 78218-4362
Phone
(713) 623-1391
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Seoung Ju Ryou, RN
Title
Ceo
Phone
(214) 670-2337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4359 Rittiman Rd
San Antonio, TX 78218-4362

Mailing address

1220 Blalock Rd
140
Houston, TX 77055-6472
Phone (214) 290-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 6, 2018 Change of OwnershipThis provider was the seller Hana Care TexasCCN 453107, TX, NPI 1447736996

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1174861512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD",
            "address_2": "140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556472",
            "telephone_number": "214-290-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 RITTIMAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782184362",
            "telephone_number": "713-623-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "RYOU",
        "authorized_official_first_name": "SEOUNG JU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-670-2337",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.