Provider Demographics
NPI:1609099084
Name:COASTAL HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:COASTAL HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ELDRED
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-600-2648
Mailing Address - Street 1:900 SE OCEAN BLVD
Mailing Address - Street 2:SUITE D-130
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2471
Mailing Address - Country:US
Mailing Address - Phone:772-600-2648
Mailing Address - Fax:772-600-2649
Practice Address - Street 1:900 SE OCEAN BLVD
Practice Address - Street 2:SUITE D-130
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2471
Practice Address - Country:US
Practice Address - Phone:772-600-2648
Practice Address - Fax:772-600-2649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health