Provider Demographics
NPI:1861627275
Name:A COAST TO COAST HOME HEALTHCARE, LLC.
Entity Type:Organization
Organization Name:A COAST TO COAST HOME HEALTHCARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-416-2374
Mailing Address - Street 1:7481 W OAKLAND PARK BLVD STE 203B
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4943
Mailing Address - Country:US
Mailing Address - Phone:954-416-2374
Mailing Address - Fax:954-416-2379
Practice Address - Street 1:7481 W OAKLAND PARK BLVD STE 203B
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4943
Practice Address - Country:US
Practice Address - Phone:954-416-2374
Practice Address - Fax:954-416-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health