Coastal Community Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COASTAL COMMUNITY CARE, LLC

Practice address

280 Stetson Rd
Lewiston, ME 04240-2430

Phone

(207) 440-1820

NPI assigned

Jul 22, 2019

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy YombeNPI 1699328336

Title

Managing Administrator

Phone

(207) 440-1820

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Yombe

  • Community/Behavioral Health Agency
  • Lewiston, ME
  • NPI 1699328336
  NPD Authorized official

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1437702016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRANDYWINE CIR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108882",
            "telephone_number": "207-518-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STETSON RD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042402430",
            "telephone_number": "207-440-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "YOMBE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING ADMINISTRATOR",
        "authorized_official_telephone_number": "207-440-1820"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Cloutier
• Melissa Cloutier
• Cmec Eye Care LLC
• Katherine Coady, APRN
• Katie Coan, CADC
• Coastal Med-Tech Corp. (Quipt Home Medical Ellsworth)
• Bruce Coffin
• Cyril George Cofie
• James Cogan, PH.D
• Stuart Ronald Cohen, DMD

• Community/Behavioral Health Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.