Coastal Bend Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COASTAL BEND CENTER FOR INDEPENDENT LIVING

Practice address

1537 7TH St
Corpus Christi, TX 78404

Phone

(361) 883-8461

Fax

(361) 883-4820

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Judy Telge

Title

Administration

Phone

(361) 883-8461

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Accessible Communities, inc. Former legal business name

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1659498855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 331660",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78463",
            "telephone_number": "361-883-8461",
            "fax_number": "361-883-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 7TH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-883-8461",
            "fax_number": "361-883-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "TELGE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "361-883-8461"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012660",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014970",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014971",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015937",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accessible Communities, inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Accessible Communities, inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Coastal Bend Anesthesia, PLLC
• Coastal Bend Area Support Services, LLC
• Coastal Bend Behavioral Clinic
• Coastal Bend Cancer Center Pharmacy LLC
• Coastal Bend Cancer Center, PA
• Coastal Bend Council of Governments
• Coastal Bend Counseling Associates
• Coastal Bend Emergency Services
• Coastal Bend Emergency Services Association
• Coastal Bend Eye Center

• Case Management Agency in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.