COASTAL CARE, INC.


Address: 10905 Timbergrove, Corpus Christi, TX 78410
Phone: 3612423230

COASTAL CARE, INC. (NPI# 1326075763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326075763
Entity Type Organization
Organization Name COASTAL CARE, INC.
Practice Address 10905 Timbergrove
Corpus Christi
TX 78410
Mailing Address Po Box 10287
Corpus Christi
TX 78460-0287
Practice Telephone 3612423230
Practice Fax Number 3612415805
Mailing Telephone 3612428844
Mailing Fax Number 3612415805
Enumeration Date 2006-06-28
Last Update Date 2007-07-24
Authorized Official Name ELSA ADAMS (PROGRAM MANAGER)
Authorized Official Telephone 3612428844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations COASTAL CARE, INC. 973 Pembroke Street, New Bedford, MA 02745

Office Location

Street Address 10905 TIMBERGROVE
City CORPUS CHRISTI
State TX
Zip Code 78410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639109085 Coastal Living, Inc. Intermediate Care Facility, Mentally Retarded 10905 Timbergrove, Corpus Christi, TX 78410 2006-07-03
1629006614 Coastal Living, Inc. Intermediate Care Facility, Mentally Retarded 10905 Timbergrove, Corpus Christi, TX 78410 2006-06-29

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831442284 A.m.e.n. Hcs Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1101 Logan Ave, Corpus Christi, TX 78404-3725 2012-10-23
1144530809 S&l Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7465 Lake Micala Dr, Corpus Christi, TX 78413-5823 2010-10-15
1669842159 Amistad Childrens Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9241 S Padre Island Dr, Corpus Christi, TX 78418-5503 2015-09-28
1003246455 Anchor Habilitation Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9241 S Padre Island Dr, Corpus Christi, TX 78418-5503 2013-11-21

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1407454176 Viandsa Care Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17203 Quiet Song Ct, Richmond, TX 77407-2964 2020-10-14
1053919050 Building Bridges In Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2007 Liberty Cove Ct, Richmond, TX 77469-2338 2020-10-12
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Competitor

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City CORPUS CHRISTI
Zip Code 78410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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