COASTAL VALLEY CARE INC (NPI# 1336695980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336695980 |
| Entity Type | Organization |
| Organization Name | COASTAL VALLEY CARE INC |
| Practice Address |
3940 Dover Fort Barnwell Road Dover NC 28526 |
| Practice Telephone | 2527178441 |
| Mailing Telephone | 2527178441 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | MS. PATRICIA ANN HOWARD (OWNER/DIRECTOR) |
| Authorized Official Telephone | 2527178441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC | 05 |
| Street Address |
3940 DOVER FORT BARNWELL ROAD |
| City | DOVER |
| State | NC |
| Zip Code | 28526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386020485 | Carla Edwards Whitley | Registered Nurse | 316 E Kornegay Street, Dover, NC 28526 | 2015-07-31 |
| 1447314075 | Morcom Medical Consultants, Pllc | Psychiatry & Neurology | 235 Jenkins Rd, Dover, NC 28526 | 2006-12-20 |
| 1669590709 | Magnolia Cottage Care, LLC | Custodial Care Facility | 5643 Hwy 70, Dover, NC 28526-8872 | 2007-03-27 |
| 1396006011 | Paradigm, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Sleepy Ridge Dr, Dover, NC 28526-8994 | 2012-05-30 |
| 1225284805 | York & Lela, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3940 Dover Fort Barnwell Rd, Dover, NC 28526-9276 | 2008-08-14 |
| 1831494327 | Murrell Social Services Network-nc | Community/Behavioral Health | 255 Belltown Rd, Dover, NC 28526-9760 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173389 | Tender Care | Hospice Care, Community Based | 149 Madison St, Dover, NJ 07801-4922 | 2020-10-30 |
| 1205436300 | Constance Crane | Nurse Practitioner | 1711 Windswept Ct, Dover, DE 19901-5854 | 2020-10-28 |
| 1649870627 | Anita L Tyndall | Nurse Practitioner | 200 Banning St Ste 250, Dover, DE 19904-3492 | 2020-10-28 |
| 1639778152 | Megan A Chapman | Massage Therapist | 1504 Ringmore Ct, Dover, FL 33527-4960 | 2020-10-26 |
| 1457950040 | Krishawna Hines | Psychologist | 88 Morris Dr, Dover, DE 19901-4440 | 2020-10-23 |
| 1376142158 | Rainey Long | Psychologist | 148 Quails Nest Dr, Dover, DE 19904-5578 | 2020-10-22 |
| 1003414806 | Andrew Royer | Psychologist | 4466b Vermont Dr, Dover, DE 19901-6378 | 2020-10-14 |
| 1093312365 | Karenann Edith Rader | Driver | 384 Aspen Dr, Dover, OH 44622-9497 | 2020-10-08 |
| 1578160826 | Cecelia Snorton | Psychologist | 69 Ediman Ct, Dover, DE 19901-6505 | 2020-10-08 |
| 1942807433 | Daniel Adjocy | Psychologist | 23 Truman Ct, Dover, DE 19904-2000 | 2020-10-07 |
| Find all providers in DOVER | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336570555 | Sarah Jane Connatser | Custodial Care Facility | 14576 Blackjack Rd, Dover, FL 33527 | 2013-12-13 |
| 1669590709 | Magnolia Cottage Care, LLC | Custodial Care Facility | 5643 Hwy 70, Dover, NC 28526-8872 | 2007-03-27 |
| 1942734843 | Natori Homecare Services | Custodial Care Facility | 353 N Governors Ave, Dover, DE 19904-3005 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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| 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.