Active NPI
Coast to Coast Healthcare Solutions, Inc
- In Home Supportive Care Agency
- Lauderdale Lakes, FL
National Provider Identifier
1376925867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30211118 | FL | |
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Attendant Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687228004 | Other | FL | MEDICAID WAIVER |
| 687228006 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Coast to Coast Healthcare Solutions Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Miami, FL
- NPI 1194842229
-
- Nursing Care Agency
- Boca Raton, FL
- NPI 1932717238
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.