Provider Demographics
NPI:1356217376
Name:COASTAL CCARE SOLUTIONS
Entity type:Organization
Organization Name:COASTAL CCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYSHIRA
Authorized Official - Middle Name:MONEE
Authorized Official - Last Name:KEELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-943-6962
Mailing Address - Street 1:830 KUHN DR UNIT 211423
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-8058
Mailing Address - Country:US
Mailing Address - Phone:619-392-4485
Mailing Address - Fax:
Practice Address - Street 1:2158 BLUESTONE CIR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-4001
Practice Address - Country:US
Practice Address - Phone:619-392-4485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care