Coastal Care Corporation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

4102 Issued in FL

Legal business name

COASTAL CARE CORPORATION

Doing business as

Coastal Caravan

Practice address

2150 SE Salerno Rd
Stuart, FL 34997-6572

Phone

(772) 223-4903

Fax

(772) 223-5622

NPI assigned

Jul 18, 2006

Last updated

Oct 3, 2019By 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

Robert Lester Lord

Title

President

Phone

(772) 223-5945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COASTAL CARAVAN Doing business as

Tax ID family

Martin Memorial Medicen5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Coastal Care Corporation

  dba Cleveland Clinic Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1124751185
  NPD tax ID
• Coastal Care Corporation

  dba Martin Memorial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Stuart, FL
  • NPI 1316966336
  NPD tax ID
• Coastal Care Corporation

  dba Advanced Medical Transport

  • Ambulance
  • Port Saint Lucie, FL
  • NPI 1386663730
  NPD tax ID
• Coastal Care Corporation

  • Multi-Specialty Clinic/Center
  • Stuart, FL
  • NPI 1609989391
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth L Holling, MD

  • Pulmonary Disease Physician
  • Stuart, FL
  • NPI 1396737516
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1629097076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9033",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349959033",
            "telephone_number": "772-223-4903",
            "fax_number": "772-223-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976572",
            "telephone_number": "772-223-4903",
            "fax_number": "772-223-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-223-5945"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088621100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL CARAVAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COASTAL CARAVAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Care Corporation (Martin Memorial Surgery Center)
• Coastal Care Corporation (Cleveland Clinic Imaging)
• Coastal Care Corporation (Martin Health System Diagnostic Services)
• Coastal Care Corporation (Martin Memorial MRI)
• Coastal Care Corporation
• Coastal Care Corporation (Cleveland Clinic Imaging)
• Coastal Concierge Services LLC
• Coastal Detox, Inc
• Coastal Eye Center PA
• Coastal Home Health Services, Inc.

• Non-emergency Medical Transport (VAN) in Stuart, FL
• Providers in Stuart, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.