Provider Demographics
NPI:1033882493
Name:HEALTHY START COALITION OF PINELLAS, INC.
Entity Type:Organization
Organization Name:HEALTHY START COALITION OF PINELLAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-507-6330
Mailing Address - Street 1:4000 GATEWAY CENTRE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-6141
Mailing Address - Country:US
Mailing Address - Phone:727-507-6330
Mailing Address - Fax:727-507-6331
Practice Address - Street 1:4000 GATEWAY CENTRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-6141
Practice Address - Country:US
Practice Address - Phone:727-507-6330
Practice Address - Fax:727-507-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No251300000XAgenciesLocal Education Agency (LEA)
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty