Organization Active NPI

Coast to Coast Healthcare Solutions, Inc

  • In Home Supportive Care Agency
  • Lauderdale Lakes, FL
National Provider Identifier
1376925867
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COAST TO COAST HEALTHCARE SOLUTIONS, INC
Practice address
4700 N State Road 7 Ste a-101
Lauderdale Lakes, FL 33319-5800
Phone
(954) 667-1125
Fax
(954) 667-1130
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Ms. Judy Jackson
Title
President
Phone
(305) 999-9295

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211118 FL
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

4700 N State Road 7 Ste a-101
Lauderdale Lakes, FL 33319-5800

Mailing address

4700 N State Road 7
Suite a-101
Lauderdale Lakes, FL 33319-5800
Phone (954) 667-1125

Other identifiers 2

IdentifierTypeStateIssuer
687228004OtherFLMEDICAID WAIVER
687228006MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Coast to Coast Healthcare Solutions 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.

Locations

4700 N State Road 7
Ste A101
Lauderdale Lakes, FL 33319
Phone (954) 667-1125

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1376925867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N STATE ROAD 7",
            "address_2": "SUITE A-101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195800",
            "telephone_number": "954-667-1125",
            "fax_number": "954-667-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N STATE ROAD 7 STE A-101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195800",
            "telephone_number": "954-667-1125",
            "fax_number": "954-667-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-999-9295",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211118",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "687228004",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687228006",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.