Active NPI
Coastal Home Health Care, Inc
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1174861512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 6, 2018 | Change of Ownership | Hana Care Texas |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.