Coastal Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COASTAL HEALTH SERVICES, INC

Practice address

1275 W Granada Blvd
Ste 6B
Ormond Beach, FL 32174-8259

Phone

(386) 492-6612

Fax

(386) 492-6600

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Robert D. Bush

Title

President

Phone

(502) 315-1724

Specialties & licenses 1

Addresses

Other names 1

• ConfiCare Home Health Solutions Doing business as

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1912286386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ORMSBY STATION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234019",
            "telephone_number": "502-315-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "address_2": "STE 6B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259",
            "telephone_number": "386-492-6612",
            "fax_number": "386-492-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-315-1724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ConfiCare Home Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toya Latrice Clements
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• Ashley Renee Cline
• Coast Florida P.a.
• Coastal Ear Nose & Throat PA
• Coastal Home Care Services LLC
• Coastal Imaging Solutions
• Coastal Internal Medicine Specialists LLC
• Coastal Neurology, Inc.
• Coastal Oncology PL

• Home Health Agency in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.