Coa Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299994192 Issued in FL

Legal business name

COA HOME CARE, LLC

Doing business as

COA In Home Services

Practice address

420 Fentress Blvd
Daytona Beach, FL 32114-1208

Phone

(386) 253-4700

Fax

(386) 253-6300

NPI assigned

May 20, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Terri D. Karol

Title

Chief Financial Officer

Phone

(386) 253-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COA In Home Services Doing business as

Locations

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1417393232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FENTRESS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141208",
            "telephone_number": "386-283-4700",
            "fax_number": "386-253-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FENTRESS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141208",
            "telephone_number": "386-253-4700",
            "fax_number": "386-253-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "KAROL",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "386-253-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH PRIVATE DUTY CARE",
            "identifier": "251E00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COA In Home Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COA In Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Renae Clegg, ARNP
• Kevin Ray Clemans, FNP-BC
• Miche Clement
• Clovis Ai
• CMS Daytona Beach
• Coaching Behavioral Alternatives Inc
• Jennifer Ann Coady, M.D.
• Coast Florida P.a. (Coast Dental-Daytona)
• Coastal Center Operations LLC
• Coastal Mental Health Center Inc

• Home Health Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.