Coastal Caregivers

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3358 Issued in NC

Legal business name

COASTAL CAREGIVERS

Practice address

3470 Old Ocean Hwy
Bolivia, NC 28422-0057

Phone

(910) 253-7581

Fax

(910) 253-7664

NPI assigned

Mar 7, 2007

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lennon Potter, RN

Title

Owner

Phone

(910) 253-7581

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Potter Other name

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1598895625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220057",
            "telephone_number": "910-253-7581",
            "fax_number": "910-253-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 OLD OCEAN HWY",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220057",
            "telephone_number": "910-253-7581",
            "fax_number": "910-253-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAREGIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LENNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-253-7581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601493",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Potter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jared Blaine Carroll, DPT
• Emily Carson
• Richard Claude Casserino, FNP-C
• April Dyan Chambers, C.R.N.A.
• Megan Childres, FNP
• Coastal Horizons Center Inc.
• Community Innovations, Inc.
• Community Innovations, Inc.
• Comp Serv Health Resources North Carolina
• Heidi Cook, M.S. CCC-LSLP

• Home Health Agency in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.