Seacoast Opco LLC

Primary specialty

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

Legal business name

SEACOAST OPCO LLC

Practice address

6367 Bay Rd
Myrtle Beach, SC 29588-6501

Phone

(813) 215-8080

NPI assigned

Jul 6, 2022

Organization subpart

Yes

Parent organization

BEHAVIORAL HEALTHAs reported in NPPES

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

Authorized official

Name

Mike Coiro

Title

Partner

Phone

(443) 564-5016

Specialties & licenses 1

Addresses

Other names 1

• Coastal Autism Academy Doing business as

Part of

Seacoast Opco LLC

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1841923950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 BAY RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886501",
            "telephone_number": "813-215-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 BAY RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886501",
            "telephone_number": "813-215-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL HEALTH",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "COIRO",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "443-564-5016"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Autism Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Dwyer Scott, D.C.
• Kayla M Scott, SLP
• Lisa Marie Scruggs, CRNA
• Sea One Family Chiropractic, P.a.
• Seabreeze Orthodontics
• Seacoast Youth Academy
• Catherine Grace Searcy, CF-SLP
• Seas the Day Therapy LLC
• Seascape Insights LLC
• Seashore Transport Services LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.