Coastal Bay Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COASTAL BAY HEALTH SERVICES LLC

Practice address

10151 Deerwood Park Blvd BLDG 200
Suite 250
Jacksonville, FL 32256-0566

Phone

(336) 414-7504

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Thorpe

Title

Sole Member

Phone

(336) 414-7504

Specialties & licenses 1

Addresses

Other names 1

• Coastal Bay Health Services LLC Other name

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1508160136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 DEERWOOD PARK BLVD BLDG 200",
            "address_2": "SUITE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560566",
            "telephone_number": "336-414-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 DEERWOOD PARK BLVD BLDG 200",
            "address_2": "SUITE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560566",
            "telephone_number": "336-414-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BAY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-414-7504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Bay Health Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Coalson, RDN
• Coast Dental P.a.
• Coast Dental P.a.
• Coast to Coast Transit, LLC
• Coastal Bay Behavioral Health, Inc
• Coastal Care Medical Center Inc
• Coastal Cognition and Language Center, PLLC
• Coastal Comfort Nemt LLC
• Coastal Concierge Physical Therapy LLC
• Coastal Cosmetic Center, PA

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

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