Active NPI
Coastal Home Care, Inc.
- Home Health Agency
- Clearwater, FL
National Provider Identifier
1972565380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA299991953
- Legal business name
- COASTAL HOME CARE, INC.
- Practice address
- 4700 140TH Ave N Ste C102
Clearwater, FL 33762-3846 - Phone
- (727) 576-2040
- Fax
- (727) 576-2050
- NPI assigned
- Apr 3, 2006
- Last updated
- Nov 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Jacob Moses
- Title
- President
- Phone
- (727) 638-7638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA299991953 | FL | Primary |
Addresses
Primary practice location
4700 140TH Ave N Ste C102
Clearwater, FL 33762-3846
Mailing address
4700 140TH Ave N Ste C102
Clearwater, FL 33762-3846
Phone (727) 576-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
4700 140th Ave N
Ste C102
Clearwater, FL 33762
Phone (727) 576-2040
9371 US Highway 19 N
Ste C
Pinellas Park, FL 33782
Phone (727) 576-2040
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Dec 1, 2024 | Change of Ownership | Patients First Home Care LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509926400000",
"number": "1972565380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 140TH AVE N STE C102",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623846",
"telephone_number": "727-576-2040",
"fax_number": "727-576-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 140TH AVE N STE C102",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623846",
"telephone_number": "727-576-2040",
"fax_number": "727-576-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2017-11-06",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-638-7638",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HHA299991953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
- Coachman Chiropractic Injury and Wellness
- Coachman, Inc. (twin oaks a.l.f.)
- Coast Florida P.a. (Coast Dental-Clearwater)
- Coastal Eye Care Inc
- Coastal Hearing, Inc (Zounds Hearing Aids)
- Coastal Jaw Surgery of New Port Richey, P.a.
- Coastal Neuropsychology, LLC
- Coastal Treatment Center, Clearwater LLC (The Wave of Clearwater)
- Coastal Treatment Centers, Largo (The Wave of Edgewater)
- Donald Bruce Cochran, OD OPTOMETRY DOCTOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.