Coastal Billing and Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COASTAL BILLING AND HOME CARE SERVICES, LLC

Practice address

15 Gum Ave
Bolton, NC 28423-8558

Phone

(910) 830-5039

Fax

(888) 633-7817

NPI assigned

Nov 28, 2018

Last updated

Nov 23, 2022By 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. Asmanda Lacewell

Title

Program Director

Phone

(910) 830-5039

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Billing AR Collection Specialist Former legal business name

Locations

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1952871303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "RIEGELWOOD",
            "state": "NC",
            "postal_code": "284560336",
            "telephone_number": "910-830-5039",
            "fax_number": "888-633-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GUM AVE",
            "city": "BOLTON",
            "state": "NC",
            "postal_code": "284238558",
            "telephone_number": "910-830-5039",
            "fax_number": "888-633-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27056 Andrew Jackson Hwy E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Delco",
            "state": "NC",
            "postal_code": "284369390",
            "country_code": "US",
            "telephone_number": "910-830-5039",
            "fax_number": "888-633-7817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL BILLING AND HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LACEWELL",
        "authorized_official_first_name": "ASMANDA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-830-5039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952871303",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Billing AR Collection Specialist",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Bolton, NC
• Providers in Bolton, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.