Organization Active NPI

Coastal Pointe Senior Living LLC

  • Assisted Living Facility
  • Shallotte, NC
National Provider Identifier
1659928174
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COASTAL POINTE SENIOR LIVING LLC
Practice address
5220 Ocean Hwy W
Shallotte, NC 28470-4006
Phone
(910) 332-4508
Fax
(910) 332-4512
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Hugh Campbell
Title
Member
Phone
(910) 332-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5220 Ocean Hwy W
Shallotte, NC 28470-4006

Mailing address

201 N Front St Ste 805
Wilmington, NC 28401-5089
Phone (910) 332-4508

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hcampbell@hedgehogha.com Direct

National Provider Directory

National Provider Directory

Locations

5220 Ocean Hwy W
Shallotte, NC 28470
Phone (910) 332-4508

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1659928174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 805",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015089",
            "telephone_number": "910-332-4508",
            "fax_number": "910-332-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 OCEAN HWY W",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704006",
            "telephone_number": "910-332-4508",
            "fax_number": "910-332-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL POINTE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-332-4508"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hcampbell@hedgehogha.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5220 Ocean Hwy W",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284704006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

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