Provider Demographics
NPI:1699416362
Name:CORAL TREE IN-HOME CARE INC
Entity Type:Organization
Organization Name:CORAL TREE IN-HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-375-9014
Mailing Address - Street 1:369 SAN MIGUEL DR STE 320
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7814
Mailing Address - Country:US
Mailing Address - Phone:949-706-7550
Mailing Address - Fax:
Practice Address - Street 1:369 SAN MIGUEL DR STE 320
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7814
Practice Address - Country:US
Practice Address - Phone:949-706-7550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care