Active NPI
Coastal Home Healthcare
- Home Health Agency
- Wilmington, NC
National Provider Identifier
1578625992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2551
- 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, 2020
- 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
- Ms. Charlene L Sowash, BATCHLORS DEGREE SS
- Title
- Administrator
- Phone
- (910) 392-0256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408407 | Medicaid | NC | |
| 6601118 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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
- Coastal Enterprises of Wilmington
- Coastal Eyeworks Incorporated (Ogden Optical Center)
- Coastal Family Practice & Internal Medicine
- Coastal Healing PA
- Coastal Hearing Solutions, Inc.
- Coastal Horizons Center
- Coastal Horizons Center Inc
- Coastal Horizons Center Inc
- Coastal Horizons Center Inc
- Coastal Horizons Center Inc
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.