Coastal Therapeutics, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

441 Issued in AL

Legal business name

COASTAL THERAPEUTICS, INC

Doing business as

COASTAL THERAPEUTICS

Practice address

869 Hillcrest Rd
Mobile, AL 36695-3909

Phone

(251) 633-6235

Fax

(251) 633-6237

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Starla Sullivan

Title

Owner

Phone

(251) 709-4540

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COASTAL THERAPEUTICS Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Therapeutics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Daphne, AL
  • NPI 1508263575

  5496960130

  Same PAC ID
• Coastal Therapeutics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1699541516

  5496960130

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Coastal Therapeutics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Therapeutics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Daphne, AL
  • NPI 1508263575
  NPD tax ID
• Coastal Therapeutics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1699541516
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Coastal Therapeutics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Daphne, AL
  • NPI 1508263575
  NPPES parent name
• Coastal Therapeutics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1699541516
  NPPES parent name

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1356434906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953909",
            "telephone_number": "251-633-6235",
            "fax_number": "251-633-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953909",
            "telephone_number": "251-633-6235",
            "fax_number": "251-633-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPEUTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-709-4540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "441",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA",
            "identifier": "51511102",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL THERAPEUTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coast Diagnostics, LLC
• Coastal Anesthesia, P.C.
• Coastal Medical Equipment LLC
• Coastal Medical MGMT. LLC
• Coastal Neurological Institute P.C.
• Coastal1 Medical Equipment LLC
• Peter Chestnutt Coats, M.D.
• Angela H Cobb, CRNP
• Jessica Ann Cobb
• John Robert Cobb, R.PH.

• Durable Medical Equipment & Medical Supplies in Mobile, AL
• Providers in Mobile, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.