Coastal Bend Area Support Services, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

320900000X Issued in TX

Legal business name

COASTAL BEND AREA SUPPORT SERVICES, LLC

Practice address

4745 Nesbitt Dr
Corpus Christi, TX 78415-1719

Phone

(361) 510-8219

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Maria R Stansell

Title

Owner

Phone

(361) 510-8219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1578849147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 NESBITT DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784151719",
            "telephone_number": "361-510-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 NESBITT DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784151719",
            "telephone_number": "361-510-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND AREA SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "STANSELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-510-8219"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "320900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Bend Anesthesia, PLLC
• Coastal Bend Behavioral Clinic
• Coastal Bend Cancer Center Pharmacy LLC
• Coastal Bend Cancer Center, PA
• Coastal Bend Center for Independent Living
• Coastal Bend Council of Governments

• Mental Illness Community Based Residential Treatment Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.