Organization Active NPI

Coastal Home Respiratory Care, Inc

  • Oxygen Equipment & Supplies (DME)
  • Andover, MA
National Provider Identifier
1679758213
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1622 Issued in MA
Legal business name
COASTAL HOME RESPIRATORY CARE, INC
Practice address
28 Andover St
Suite 232
Andover, MA 01810-4888
Phone
(781) 635-9668
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Richard J Kosinski
Title
President
Phone
(978) 685-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1622 MA Primary

Addresses

Primary practice location

28 Andover St
Suite 232
Andover, MA 01810-4888

Mailing address

28 Andover St
Suite 232
Andover, MA 01810-4888
Phone (781) 635-9668

Other identifiers 1

IdentifierTypeStateIssuer
0000357454OtherMABLUE CROSS MA

National Provider Directory

National Provider Directory

Locations

28 Andover St
Ste 232
Andover, MA 01810
Phone (781) 635-9668

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1679758213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ANDOVER ST",
            "address_2": "SUITE 232",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104888",
            "telephone_number": "781-635-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ANDOVER ST",
            "address_2": "SUITE 232",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104888",
            "telephone_number": "781-635-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HOME RESPIRATORY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "KOSINSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-685-4111"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MA",
            "license": "1622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MA",
            "identifier": "0000357454",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.