Coastal Community Care Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

001008928 Issued in TX

Legal business name

COASTAL COMMUNITY CARE SERVICES, INC

Practice address

4615 North Fwy Ste 204
Houston, TX 77022-2920

Phone

(713) 694-0051

Fax

(713) 694-4711

NPI assigned

Oct 21, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Hyacinth M Chiedu

Title

Director

Phone

(713) 694-0051

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ifeanyi Hyacinth Chiedu

  • Community Health Worker
  • Houston, TX
  • NPI 1023253796
  NPD (past)

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1811325392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 NORTH FWY STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222920",
            "telephone_number": "713-694-0051",
            "fax_number": "713-694-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 NORTH FWY STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222920",
            "telephone_number": "713-694-0051",
            "fax_number": "713-694-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMMUNITY CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "CHIEDU",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-694-0051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001008928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coalesce Health Services, LLC
• Coalition for Barrier Free Living
• Geoffrey Austin Coalson, M.S., CF-SLP
• Grant Stewart Coan, MD
• Zackie T Coapland
• Coastal Emergency Medical Service, LP
• Coastal EMS, Inc.
• Coastal Eye Associates
• Coastal Eye Associates, PLLC
• Coastal Medical Group

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.