COASTLINE SUPPORT, INC. (NPI# 1063839330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063839330 |
| Entity Type | Organization |
| Organization Name | COASTLINE SUPPORT, INC. |
| Practice Address |
1509 Seabright Ave. C-1 Santa Cruz CA 95062 |
| Practice Telephone | 8314266436 |
| Practice Fax Number | 8314266891 |
| Mailing Telephone | 8314266436 |
| Mailing Fax Number | 8314266891 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | SCOTT N BEESLEY (PRESIDENT) |
| Authorized Official Telephone | 8314266436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1509 SEABRIGHT AVE. C-1 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003937 | Encompass | Community/Behavioral Health | 716 Ocean St Ste 200, Santa Cruz, CA 95060-4034 | 2016-10-09 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1972930097 | Encompass Community Services | Community/Behavioral Health | 530 Ocean St Ste B, Santa Cruz, CA 95060-6628 | 2013-10-03 |
| 1710238662 | Family Services Agency | Community/Behavioral Health | 527 Windham St, Santa Cruz, CA 95062-2461 | 2012-10-01 |
| 1790957355 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 1817 Soquel Ave, Santa Cruz, CA 95062-1307 | 2008-03-24 |
| 1134318967 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 415 Walnut Ave, Santa Cruz, CA 95060-3633 | 2007-10-17 |
| 1073702890 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 300 La Fonda Ave, Santa Cruz, CA 95062-1431 | 2007-10-17 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1083838767 | Volunteer Centers of Santa Cruz | Community/Behavioral Health | 1010 Emeline Ave, Santa Cruz, CA 95060-1913 | 2007-04-12 |
| 1083737167 | Parents Center | Community/Behavioral Health | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2007-04-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.