Provider Demographics
NPI:1033350517
Name:COASTAL OPPORTUNITIES
Entity Type:Organization
Organization Name:COASTAL OPPORTUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CURLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-236-6008
Mailing Address - Street 1:PO BOX 637
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-0637
Mailing Address - Country:US
Mailing Address - Phone:207-236-6008
Mailing Address - Fax:207-236-0690
Practice Address - Street 1:35 LIMEROCK ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-2114
Practice Address - Country:US
Practice Address - Phone:207-236-6008
Practice Address - Fax:207-236-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251C00000X, 385H00000X
ME370163104A0625X
MEALLS 2969320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME105440204Medicaid
ME105440206Medicaid
ME105440300Medicaid
ME105440200Medicaid
ME105440201Medicaid
ME105440203Medicaid
ME105440202Medicaid
ME105440000Medicaid
ME105440100Medicaid
ME105440001Medicaid