Organization Active NPI

West Coast AIDS Foundation

  • Case Management Agency
  • New Port Richey, FL
National Provider Identifier
1467610113
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6817831-00 Issued in FL
Legal business name
WEST COAST AIDS FOUNDATION
Practice address
8607 Easthaven Court
Suite 101
New Port Richey, FL 34655-5217
Phone
(727) 669-6800
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Brent W Laartz, MDNPI 1861437881
Title
President
Phone
(727) 669-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6817831-00 FL Primary

Addresses

Primary practice location

8607 Easthaven Court
Suite 101
New Port Richey, FL 34655-5217

Mailing address

1840 Mease Drive
Suite 319
Safety Harbor, FL 34695-6605
Phone (727) 669-6800

Other identifiers 1

IdentifierTypeStateIssuer
6932118-00MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
West Coast AIDS Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8607 Easthaven Ct
Ste 101
New Port Richey, FL 34655
Phone (727) 669-6800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1467610113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DRIVE",
            "address_2": "SUITE 319",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956605",
            "telephone_number": "727-669-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 EASTHAVEN COURT",
            "address_2": "SUITE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555217",
            "telephone_number": "727-669-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST AIDS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "LAARTZ",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-669-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "6817831-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6932118-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.