Coastline Elderly Services, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COASTLINE ELDERLY SERVICES, INC.

Practice address

1646 Purchase St
New Bedford, MA 02740-6819

Phone

(508) 999-6400

Fax

(508) 993-6510

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Sisson

Title

Executive Direcotr

Phone

(508) 999-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Stephanie Amber Boulay, RD, LDN

  • Registered Dietitian
  • New Bedford, MA
  • NPI 1407346398
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770602278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406819",
            "telephone_number": "508-999-6400",
            "fax_number": "508-993-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406819",
            "telephone_number": "508-999-6400",
            "fax_number": "508-993-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE ELDERLY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECOTR",
        "authorized_official_telephone_number": "508-999-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1948504",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alana Kyung Hee Clermont-Ramos, MSW
• Chelsee Marie Cloutier
• Mark Cloutier
• Coastal Rehabilitation Inc
• Coastline Elderly Services, Inc.
• Monique Coe
• Gerald S Cohen, D.D.S.
• Marla Cohen
• Paul Cohen, M.D.
• Peter Calvin Cohn, NP

• Public Health or Welfare Agency in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.