Priority Coastal Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIORITY COASTAL CARE LLC

Practice address

800 Pinebrook Rd
Suite 812
Venice, FL 34285-7103

Phone

(941) 483-9111

Fax

(941) 237-4122

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey P Tremblay

Title

Operations Director

Phone

(941) 483-9111

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of Venice Other name

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1316316037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PINEBROOK RD",
            "address_2": "SUITE 812",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857103",
            "telephone_number": "941-483-9111",
            "fax_number": "941-237-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PINEBROOK RD",
            "address_2": "SUITE 812",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857103",
            "telephone_number": "941-483-9111",
            "fax_number": "941-237-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY COASTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "TREMBLAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "941-483-9111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Venice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.