Coastal Home Care, Llc

LBN: Coastal Home Care, Llc
Coastal Home Care, Llc is an health care organization with primary practice located at 210 W Park Ave , Valdosta GA 31602-2507. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Coastal Home Care, Llc can be contacted via phone (229) 671-9232, or through Bonaccorsi, Joseph via phone (312) 762-9999.

Contact Information

Primary practice address
210 W Park Ave Valdosta GA 31602-2507
Phone: (229) 671-9232
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonaccorsi, Joseph
Phone: (312) 762-9999

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 025R0271 Georgia
Agencies / Home Health 251E00000X 016R0270 Georgia
Agencies / Home Health 251E00000X 063R0272 Georgia
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1285777490
LBN Legal business name Coastal Home Care, Llc
DBA Doing business as
Authorized official Bonaccorsi, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 8th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285777490 NPPES
Georgia MEDICAID 000609958P

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