NPIMap

Organization Active NPI

Coastal Home Health & Hospice Inc.

  • Home Health Agency
  • Brookings, OR
National Provider Identifier
1396032447
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13-1502 Issued in OR
Legal business name
COASTAL HOME HEALTH & HOSPICE INC.
Practice address
585 5TH St
Brookings, OR 97415-9702
Phone
(541) 469-0405
Fax
(541) 469-6185
NPI assigned
Jul 8, 2011
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jamie Daugherty, RN
Title
Ceo
Phone
(541) 512-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13-1502 OR Primary

Addresses

Primary practice location

585 5TH St
Brookings, OR 97415-9702

Mailing address

PO Box 6042
Brookings, OR 97415-0137
Phone (541) 469-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110727000537 OR Part A Provider - Home Health Agency 7315115854 Practice locations: Brookings, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396032447. Details of each certification follow.

Home health agency certification: CCN 387087

Legal name
COASTAL HOME HEALTH & HOSPICE INC
Doing business as
CLEARCARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 28, 1985
Last certification
Aug 9, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 29, 2010 in OR
Enrollment address
585 5TH St
Brookings, OR 97415-9702
HHA Branch

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Coastal Home Health & HospiceCCN 387087 · All quality measures
Overall star rating
2 of 5
Ownership
Non-Profit
Certified
Jun 28, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

National Provider Directory

National Provider Directory
Tax ID family
Coastal Home Health Hospic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sally Newby Individual Corporate DirectorBoard Member Feb 23, 2023 100%
London Manor-Petersen Individual Corporate DirectorBoard Member Jan 20, 2022 100%
Jamie Daugherty Individual Corporate DirectorCeo Jun 25, 2018 100%
W-2 Managing EmployeeCeo Jun 25, 2018 100%
Kristin J Gurholt Individual Corporate DirectorBoard Member Feb 23, 2023 100%
Cecelia Swick Individual Corporate DirectorBoard President/Treasurer Jan 29, 2016 100%
Roswitha Cimino Individual Corporate DirectorBoard Member Jan 20, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coastal Home Health & HospiceCrescent City, CA, CCN B51786 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 8, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1396032447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6042",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150137",
            "telephone_number": "541-469-0405",
            "fax_number": "541-469-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 5TH ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "541-469-0405",
            "fax_number": "541-469-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HOME HEALTH & HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-512-5041",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13-1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

Verify at the official NPI Registry.