NPIMap

Organization Active NPI

Coastal Care Services LLC

  • Case Management Agency
  • Baton Rouge, LA
National Provider Identifier
1427465103
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
27024 Issued in LA
Legal business name
COASTAL CARE SERVICES LLC
Practice address
3909 Plaza Tower Dr
Baton Rouge, LA 70816-4356
Phone
(504) 616-7902
Fax
(985) 674-2053
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 27024 LA Primary

Addresses

Primary practice location

3909 Plaza Tower Dr
Baton Rouge, LA 70816-4356

Mailing address

1011 N Causeway Blvd
Suite 35
Mandeville, LA 70471-3243
Phone (985) 674-2054

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.

Locations

3909 Plaza Tower Dr
Baton Rouge, LA 70816
Phone (225) 295-3662

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

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1427465103",
    "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": "985-674-2054",
            "fax_number": "985-674-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 PLAZA TOWER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164356",
            "telephone_number": "504-616-7902",
            "fax_number": "985-674-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-616-7902",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "27024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.