Coastal Living, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

117477 Issued in TX

Legal business name

COASTAL LIVING, INC.

Practice address

10905 Timbergrove
Corpus Christi, TX 78410

Phone

(361) 242-3230

Fax

(361) 241-5805

NPI assigned

Jun 29, 2006

Last updated

Jul 24, 2007By 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

Elsa Adams

Title

LSW,QMRP

Phone

(361) 242-8844

Specialties & licenses 1

Addresses

Other names 1

• Bay House Other name

Tax ID family

Bay House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Living, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Corpus Christi, TX
  • NPI 1639109085
  NPD tax ID

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1629006614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10606",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784600606",
            "telephone_number": "361-242-8844",
            "fax_number": "361-241-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 TIMBERGROVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78410",
            "telephone_number": "361-242-3230",
            "fax_number": "361-241-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "LSW,QMRP",
        "authorized_official_telephone_number": "361-242-8844"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "117477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coastal ER II, LLC (Physicians Premier Emergency Room)
• Coastal ER IV LLC
• Coastal ER V, LLC (Physicians PremiER)
• Coastal Family Medicine Associates, PA (Bayside Medical Center)
• Coastal First Assisting LLC
• Coastal Living, Inc.
• Coastal Orthopedics PA (Coastal Orthopedics, PLLC)
• Coastal Physician Group PA
• Coastal Physicians ER, PLLC
• Coastal Plains Hospital, LP

• Intellectual Disabilities Intermediate Care Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.