Coastal Carolina Home Care, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

COASTAL CAROLINA HOME CARE, LLC

Practice address

117 Holden Beach Rd.
Suite 101
Shallotte, NC 28459

Phone

(910) 754-3445

Fax

(910) 754-3446

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Genell Lynn Sikes

Title

Director / Owner

Phone

(910) 754-3445

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1376873299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3291",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284593291",
            "telephone_number": "910-754-3445",
            "fax_number": "910-754-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOLDEN BEACH RD.",
            "address_2": "SUITE 101",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28459",
            "telephone_number": "910-754-3445",
            "fax_number": "910-754-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "GENELL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR / OWNER",
        "authorized_official_telephone_number": "910-754-3445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3013",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.