Provider Demographics
NPI:1275030298
Name:NORTH COAST MINISTRIES
Entity Type:Organization
Organization Name:NORTH COAST MINISTRIES
Other - Org Name:AGAPE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELANICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-845-2941
Mailing Address - Street 1:321 W WABASH AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-2819
Mailing Address - Country:US
Mailing Address - Phone:707-845-2941
Mailing Address - Fax:707-798-1357
Practice Address - Street 1:321 W WABASH AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:707-445-1212
Practice Address - Fax:707-798-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health