Coastline Healthcare Solutions, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

C3581553 Issued in CA

Legal business name

COASTLINE HEALTHCARE SOLUTIONS, INC.

Doing business as

Coastline Homecare

Practice address

23046 Avenida de la Carlota
Suite 600
Laguna Hills, CA 92653-1548

Phone

(855) 426-2785

Fax

(855) 426-2785

NPI assigned

Oct 28, 2015

Last updated

Oct 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vincent J Juhl

Title

Co- Founder

Phone

(855) 426-2785

Specialties & licenses 1

Addresses

Other names 1

• Coastline Homecare Doing business as

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1174995211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531548",
            "telephone_number": "855-426-2785",
            "fax_number": "855-426-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531548",
            "telephone_number": "855-426-2785",
            "fax_number": "855-426-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE HEALTHCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "JUHL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO- FOUNDER",
        "authorized_official_telephone_number": "855-426-2785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "C3581553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.