Coastal Nursecare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

063-R-0004 Issued in GA

Legal business name

COASTAL NURSECARE INC.

Practice address

3216 Shrine Rd
Brunswick, GA 31520-4325

Phone

(912) 264-0040

Fax

(912) 261-1292

NPI assigned

Aug 23, 2005

Last updated

Sep 11, 2025By 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

Mrs. Emily C. Davenport

Title

President

Phone

(912) 264-0040

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912990235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204325",
            "telephone_number": "912-264-0040",
            "fax_number": "912-261-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204325",
            "telephone_number": "912-264-0040",
            "fax_number": "912-261-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NURSECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-264-0040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "063-R-0004",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "063-R-0004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52100796002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Home Care, LLC
• Coastal Home Care, LLC
• Coastal Home Care, LLC
• Coastal Hypnosis Center
• Coastal Neurology and Neurosurgery
• Coastal Orthopedic Products, Inc.
• Coastal Pain Center, LLC
• Coastal Periodontics, P.C.
• Coastal Pharmacare Inc
• Coastal Physical Therapy Inc

• Home Health Agency in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.