Organization Active NPI

Coastal Home Healthcare

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1578625992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2551 Issued in NC
Legal business name
COASTAL HOME HEALTHCARE
Practice address
925 S Kerr Ave
Ste F
Wilmington, NC 28403-4335
Phone
(910) 392-0256
Fax
(910) 392-0549
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Charlene L Sowash, BATCHLORS DEGREE SS
Title
Administrator
Phone
(910) 392-0256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2551 NC Primary

Addresses

Primary practice location

925 S Kerr Ave
Ste F
Wilmington, NC 28403-4335

Mailing address

925 S Kerr Ave
Ste F
Wilmington, NC 28403-4335
Phone (910) 392-0256

Other identifiers 2

IdentifierTypeStateIssuer
3408407MedicaidNC
6601118MedicaidNC

National Provider Directory

National Provider Directory

Locations

925 S Kerr Ave
Ste F
Wilmington, NC 28403
Phone (910) 392-6010

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578625992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE",
            "address_2": "STE F",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034335",
            "telephone_number": "910-392-0256",
            "fax_number": "910-392-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE",
            "address_2": "STE F",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034335",
            "telephone_number": "910-392-0256",
            "fax_number": "910-392-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOWASH",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-392-0256",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BATCHLORS DEGREE SS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408407",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.