Central Coast in Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CENTRAL COAST IN HOME CARE SERVICES LLC

Practice address

697 Avocet Way
Arroyo Grande, CA 93420-5571

Phone

(805) 709-4077

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronnie Mahaffey

Title

Owner

Phone

(805) 709-4077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1811548233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 AVOCET WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205571",
            "telephone_number": "805-709-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 AVOCET WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205571",
            "telephone_number": "805-709-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST IN HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-709-4077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Katherine Castagna, NP
• Veronica Jenale Castilleja
• Heather Cecena, M.S., CCC-SLP
• Central Coast Behavioral Center
• Central Coast Behavioral Health, Inc.
• Central Coast Psychological Services Corporation
• Central Coast Retina Inc
• Central Coast Speech Pathology and Orofacial Myology
• Central Coast Spine and Pain Management Center, Inc.
• Cep America - Anesthesia PC

• In Home Supportive Care Agency in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.