Coastal Caregivers LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COASTAL CAREGIVERS LLC.

Practice address

20 Cottage Dr
Fairhope, AL 36532-3813

Phone

(251) 517-2243

Fax

(251) 210-4405

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Georgette S Houlsen

Title

Business Owner

Phone

(251) 200-2629

Specialties & licenses 1

Addresses

Other names 1

• Jetta Sitting Service Former legal business name

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1386425940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COTTAGE DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323813",
            "telephone_number": "251-517-2243",
            "fax_number": "251-210-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COTTAGE DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323813",
            "telephone_number": "251-517-2243",
            "fax_number": "251-210-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAREGIVERS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "HOULSEN",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "251-200-2629"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jetta Sitting Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robert Alan Clark, M.D.
• Zachary Kyle Clark, MD
• Christopher Clarke, MD
• Clearlyusa.Com, L.L.C.
• Barbara C Clements, DMD
• Coastal Fairhope, LLC
• Coastal Health Connect, LLC
• Coastal Healthcare Services P C
• Coastal Hearing and Balance, LLC
• Coastal Inpatient Physicians PC

• In Home Supportive Care Agency in Fairhope, AL
• Providers in Fairhope, AL by specialty
• In Home Supportive Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.