Coastal IV

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

COASTAL IV

Practice address

34336 Beech Dr
Lewes, DE 19958-4740

Phone

(302) 607-9322

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Partridge, RNNPI 1376218602

Title

Owner

Phone

(912) 503-8119

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Partridge

  • Infusion Therapy Registered Nurse
  • Lewes, DE
  • NPI 1376218602
  NPD Authorized official
• Andrew Jock, RN

  • Infusion Therapy Registered Nurse
  • Lewes, DE
  • NPI 1811662141
  NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1689347338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34336 BEECH DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584740",
            "telephone_number": "302-607-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34336 BEECH DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584740",
            "telephone_number": "302-607-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-503-8119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Lewes, DE
• Providers in Lewes, DE by specialty
• Home Infusion Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.