Organization Active NPI

Coast 2 Coast Healthcare LLC

  • Community Based Hospice Care Agency
  • Mission Viejo, CA
National Provider Identifier
1386045920
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COAST 2 COAST HEALTHCARE LLC
Practice address
27201 Puerta Real
Suite 300
Mission Viejo, CA 92691-7359
Phone
(714) 494-1036
Fax
(714) 494-1036
NPI assigned
Sep 15, 2014
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Robert Collette
Title
Owner
Phone
(714) 494-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

27201 Puerta Real
Suite 300
Mission Viejo, CA 92691-7359

Mailing address

27201 Puerta Real
Suite 300
Mission Viejo, CA 92691-7359
Phone (714) 494-1036

National Provider Directory

National Provider Directory

Locations

27201 Puerta Real
Ste 300
Mission Viejo, CA 92691
Phone (714) 552-1317

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1386045920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL",
            "address_2": "SUITE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917359",
            "telephone_number": "714-494-1036",
            "fax_number": "714-494-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL",
            "address_2": "SUITE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917359",
            "telephone_number": "714-494-1036",
            "fax_number": "714-494-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST 2 COAST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-494-1036"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.