NPIMap

Organization Active NPI

Coastal Care Services LLC

  • Case Management Agency
  • Thibodaux, LA
National Provider Identifier
1437609583
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COASTAL CARE SERVICES LLC
Practice address
105 Park Dr
Thibodaux, LA 70301-6426
Phone
(504) 616-7902
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

105 Park Dr
Thibodaux, LA 70301-6426

Mailing address

105 Campbell Blvd Ste 1
Mandeville, LA 70471-1912
Phone (985) 900-2115

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

105 Park Dr
Thibodaux, LA 70301
Phone (504) 616-7902

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1437609583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CAMPBELL BLVD STE 1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711912",
            "telephone_number": "985-900-2115",
            "fax_number": "985-900-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PARK DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016426",
            "telephone_number": "504-616-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "LOUIS",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.