Organization Active NPI

East Coast Medical Staffing Inc

  • Nursing Care Agency
  • Palm Coast, FL
National Provider Identifier
1194913426
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
EAST COAST MEDICAL STAFFING INC
Practice address
145 Cypress Point Pkwy
Suite 101
Palm Coast, FL 32164-8426
Phone
(386) 597-5722
Fax
(386) 597-5723
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Courtney D Brewster Jr.
Title
Dr
Phone
(386) 597-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

145 Cypress Point Pkwy
Suite 101
Palm Coast, FL 32164-8426

Mailing address

145 Cypress Point Pkwy
Suite 101
Palm Coast, FL 32164-8426
Phone (386) 597-5722

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherFLDO HAVE A NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1194913426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CYPRESS POINT PKWY",
            "address_2": "SUITE 101",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648426",
            "telephone_number": "386-597-5722",
            "fax_number": "386-597-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CYPRESS POINT PKWY",
            "address_2": "SUITE 101",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648426",
            "telephone_number": "386-597-5722",
            "fax_number": "386-597-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST MEDICAL STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "386-597-5722",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO HAVE A NUMBER",
            "identifier": "0000000000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.