Coastal Care Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1887 Issued in FL

Legal business name

COASTAL CARE MEDICAL SUPPLY, INC.

Practice address

755 NW 17TH Ave
105
Delray Beach, FL 33445-2522

Phone

(561) 265-4310

Fax

(561) 214-4004

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan James Fedele

Title

President

Phone

(561) 265-4310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HME Partners Doing business as

Tax ID family

Coastal Care Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coastal Care Medical Supply, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Naples, FL
  • NPI 1730129156
  NPD tax ID

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1356651673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W WOOLBRIGHT RD",
            "address_2": "200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266398",
            "telephone_number": "561-819-0460",
            "fax_number": "561-207-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NW 17TH AVE",
            "address_2": "105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452522",
            "telephone_number": "561-265-4310",
            "fax_number": "561-214-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "FEDELE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-265-4310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "1887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HME Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.