Del Norte Association for Developmental Services

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DEL NORTE ASSOCIATION FOR DEVELOPMENTAL SERVICES

Doing business as

Coastline Enterprises

Practice address

950 Front St
Crescent City, CA 95531-4307

Phone

(707) 465-4720

Fax

(707) 465-1029

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Jacqueline M Peel

Title

Executive Director

Phone

(707) 465-4720

Specialties & licenses 1

Addresses

Other names 1

• Coastline Enterprises Doing business as

Locations

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1467783514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955311025",
            "telephone_number": "707-465-4720",
            "fax_number": "707-465-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRONT ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314307",
            "telephone_number": "707-465-4720",
            "fax_number": "707-465-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL NORTE ASSOCIATION FOR DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-465-4720"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Enterprises",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Davis, LCSW
• Sheila Jean Davis
• Windy Davis
• Christine Day
• Del Norte Ambulance, Inc.
• Del Norte County Mental Health
• Del Norte County Unified School District
• Del Norte Healthcare District
• Del Norte LLC
• Del Norte Medical Imaging, Inc.

• Non-emergency Medical Transport (VAN) in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.