NPIMap

Organization Active NPI

Coastal Care Services, LLC

  • Case Management Agency
  • Mandeville, LA
National Provider Identifier
1396971701
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COASTAL CARE SERVICES, LLC
Practice address
1011 N Causeway Blvd
Suite 35
Mandeville, LA 70471-3243
Phone
(504) 616-7902
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Barry L Gros Jr.
Title
Director
Phone
(504) 616-7902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1011 N Causeway Blvd
Suite 35
Mandeville, LA 70471-3243

Mailing address

1011 N Causeway Blvd
Suite 35
Mandeville, LA 70471-3243
Phone (504) 616-7902

National Provider Directory

National Provider Directory
Tax ID family
Coastal Care Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1396971701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD",
            "address_2": "SUITE 35",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713243",
            "telephone_number": "504-616-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD",
            "address_2": "SUITE 35",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713243",
            "telephone_number": "504-616-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-616-7902",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.