Coastal Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

COASTAL EARLY INTERVENTION LLC

Practice address

2117 Short Grass CT
Mount Pleasant, SC 29466-8161

Phone

(843) 442-6940

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Ronald Thayer

Title

Owner and Executive Director

Phone

(843) 442-6940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1285192245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 SHORT GRASS CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SHORT GRASS CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668161",
            "telephone_number": "843-442-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-442-6940"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.