Active NPI
Coastal Care Inc.
Doing business as Accessible Health Care of The L A Coast
- Home Health Agency
- Torrance, CA
National Provider Identifier
1528297231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COASTAL CARE INC.
- Doing business as
- Accessible Health Care of The L A Coast
- Practice address
- 21707 Hawthorne Blvd Ste 106
Torrance, CA 90503-7010 - Phone
- (310) 543-3211
- Fax
- (310) 543-3223
- NPI assigned
- Jul 2, 2009
- Last updated
- Jul 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Deborah L Ballantine
- Title
- President
- Phone
- (310) 543-3211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
21707 Hawthorne Blvd Ste 106
Torrance, CA 90503-7010
Mailing address
21707 Hawthorne Blvd Ste 106
Torrance, CA 90503-7010
Phone (310) 543-3211
Other names 1
- Accessible Health Care of The L A Coast
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110321000590 | CA | Part A Provider - Home Health Agency | 7517140080 | Practice locations: Torrance, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528297231. Details of each certification follow.
Home health agency certification: CCN 059405
- Legal name
- COASTAL CARE INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 11, 2012
- Last certification
- Mar 9, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 7, 2009 in CA
- Enrollment address
- 21707 Hawthorne Blvd
Ste 106
Torrance, CA 90503-7010
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Coastal Home Healthcare LLC
- Ownership
- Proprietary
- Certified
- Apr 11, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
21707 Hawthorne Blvd
Ste 106
Torrance, CA 90503
Phone (310) 543-3211
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah Ballantine | 5% Or Greater Direct Ownership Interest | May 7, 2009 | 50% |
| Corporate Director | May 7, 2009 | 50% | |
| W-2 Managing Employee | May 7, 2009 | 50% | |
| Mark a Gill | 5% Or Greater Direct Ownership Interest | May 7, 2009 | 50% |
| Corporate Director | May 7, 2009 | 50% | |
| W-2 Managing Employee | May 7, 2009 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246492800000",
"number": "1528297231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21707 HAWTHORNE BLVD STE 106",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905037010",
"telephone_number": "310-543-3211",
"fax_number": "310-543-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21707 HAWTHORNE BLVD STE 106",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905037010",
"telephone_number": "310-543-3211",
"fax_number": "310-543-3223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A",
"authorized_official_last_name": "BALLANTINE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-543-3211",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Accessible Health Care of The L A Coast",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Torrance, CA
- Sabrina Rae Verzosa Co
- Coast Cities Surgery Center, Inc
- Coast Dermatology Medical Associates Inc
- Coast Surgery Center L P (Coast Surgery Center of South Bay)
- Coastal Care Inc (Accessible Home Health Care of the L. A. Coast)
- Coastal Home Healthcare LLC
- Coastal Medical Corporation
- Coastal Perinatal Center Inc (Coastal Perinatal Center)
- Coastal Physicians Medical Group, Inc.
- Coastal View Gastroenterology of South Bay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.