Coastal Companion Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COASTAL COMPANION CARE, LLC

Practice address

5121 Southport Supply Rd SE
Suite 3
Southport, NC 28461

Phone

(910) 457-5300

Fax

(910) 457-5333

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Stewart Haviland Buss

Title

Owner/Manager

Phone

(443) 742-9108

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1497515571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 297",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "28465",
            "telephone_number": "443-742-9108",
            "fax_number": "910-457-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 SOUTHPORT SUPPLY RD SE",
            "address_2": "SUITE 3",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "28461",
            "telephone_number": "910-457-5300",
            "fax_number": "910-457-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMPANION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "HAVILAND",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "443-742-9108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Southport
• Allison Clark
• Jonathan Blake Clarke, LCAS
• Katie Clegg
• Jesse Clinger, PHARMD
• Coastal Concierge Health, PLLC
• Coastal Counseling Clinic
• Coastal Therapy Services, Inc
• Comprehensive Medical Associates, PLLC
• Haley Nicole Cook

• In Home Supportive Care Agency in Southport, NC
• Providers in Southport, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.