Coastal Access Inc

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

COASTAL ACCESS INC

Practice address

3011 Highway 30 W # 101-166
Huntsville, TX 77340-3534

Phone

(936) 581-5356

Fax

(866) 249-9163

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Edwin Guevara

Title

Owner

Phone

(936) 661-9227

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1922254457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 HIGHWAY 30 W # 101-166",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403534",
            "telephone_number": "936-581-5356",
            "fax_number": "866-249-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HIGHWAY 30 W # 101-166",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403534",
            "telephone_number": "936-581-5356",
            "fax_number": "866-249-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ACCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-661-9227"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "176786155",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER TAXONOMY",
            "identifier": "332B00000X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRCC",
            "identifier": "2248",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BNTCS0189",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "S500292970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER TAXONOMY",
            "identifier": "171WH0202X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Home Modifications Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.