COASTAL LIVING, INC.


Address: 10905 Timbergrove, Corpus Christi, TX 78410
Phone: 3612423230

COASTAL LIVING, INC. (NPI# 1629006614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629006614
Entity Type Organization
Organization Name COASTAL LIVING, INC.
Other Organization Name BAY HOUSE
Practice Address 10905 Timbergrove
Corpus Christi
TX 78410
Mailing Address Po Box 10606
Corpus Christi
TX 78460-0606
Practice Telephone 3612423230
Practice Fax Number 3612415805
Mailing Telephone 3612428844
Mailing Fax Number 3612415805
Enumeration Date 2006-06-29
Last Update Date 2007-07-24
Authorized Official Name ELSA ADAMS (LSW,QMRP)
Authorized Official Telephone 3612428844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 117477 TX Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Bay House Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639109085 Coastal Living, Inc. Intermediate Care Facility, Mentally Retarded 10905 Timbergrove, Corpus Christi, TX 78410 2006-07-03

Office Location

Street Address 10905 TIMBERGROVE
City CORPUS CHRISTI
State TX
Zip Code 78410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326075763 Coastal Care, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10905 Timbergrove, Corpus Christi, TX 78410 2006-06-28
1639109085 Coastal Living, Inc. Intermediate Care Facility, Mentally Retarded 10905 Timbergrove, Corpus Christi, TX 78410 2006-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006736 Ifeyinwa B Nwolisa Pharmacist 4101 Ih 69, Suite C, Corpus Christi, TX 78410 2020-09-08
1417486333 Calallen Dental & Orthodontics Pllc Dentist 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 2017-06-05
1811395734 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 14017 Northest Blvd., Suite 109-b, Corpus Christi, TX 78410 2014-12-09
1811324841 Nicholas S Baucum Chiropractor 14902 Trinity River Dr Ste 2, Corpus Christi, TX 78410 2013-10-04
1477865954 Brett D Chapman Dentist 13725 Northwest Blvd., Medical Plaza 1, Ste. 1, Corpus Christi, TX 78410 2010-07-13
1063644227 Professionals Inserting Central Catheters, Inc. Registered Nurse 4309 Lavaca River Ct, Corpus Christi, TX 78410 2009-08-20
1568639177 Whisper Creek Adult Day Care, Inc. Custodial Care Facility 13665 Teague Lane, Corpus Christi, TX 78410 2008-05-13
1821143637 Albert Henry Guzman Durable Medical Equipment & Medical Supplies 4613 Cornett Dr, Corpus Christi, TX 78410 2007-01-24
1083771026 Erica Contreras Physical Therapy Assistant 13138 Leopard St, Corpus Christi, TX 78410 2007-01-02
1619065604 John Theodore Thompson Dentist 4101 Us Hwy 77 Ste M 1a, Corpus Christi, TX 78410 2006-10-11
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851739114 Educare Community Living Corporation - Texas Intermediate Care Facility, Mentally Retarded 11730 Nelon, Corpus Christi, TX 78414 2013-06-10
1649403429 Educare Community Living Corporation - Texas Intermediate Care Facility, Mentally Retarded 4053 Mountain Vw, Corpus Christi, TX 78410-3819 2009-08-27
1275766057 Educare Community Living Corporation - Texas Intermediate Care Facility, Mentally Retarded 9329 Moon Light Dr, Corpus Christi, TX 78409-2629 2009-08-27
1477617868 Ability House, Ltd. Intermediate Care Facility, Mentally Retarded 4110 Kostoryz Rd, Corpus Christi, TX 78415-4935 2006-12-20
1144390899 American Habilitation Services Inc Intermediate Care Facility, Mentally Retarded 3031 Mcardle, Corpus Christi, TX 78415 2006-11-09
1942370333 Health and Human Services Commission Intermediate Care Facility, Mentally Retarded 5021 Calallen Dr, Corpus Christi, TX 78410-4748 2006-11-09
1073692604 Health and Human Services Commission Intermediate Care Facility, Mentally Retarded 4013 Castle Ridge Dr, Corpus Christi, TX 78410-3634 2006-11-03
1588110050 Amistad Children Services Inc Intermediate Care Facility, Mentally Retarded 9241 S Padre Island Dr, Corpus Christi, TX 78418-5503 2016-08-25
1639109085 Coastal Living, Inc. Intermediate Care Facility, Mentally Retarded 10905 Timbergrove, Corpus Christi, TX 78410 2006-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639271 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 3323 Gail Ln, Tyler, TX 75701-7425 2020-11-05
1952902900 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 2500 Terry Pl, Greenville, TX 75402-7131 2020-11-05
1811598865 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 100 Patti J St, Greenville, TX 75402-8053 2020-11-05
1124629175 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 2616 Pounds Ave, Tyler, TX 75701-5627 2020-11-05
1568063527 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 2525 Preston Ave, Tyler, TX 75701-4644 2020-11-05
1104427509 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 2812 Shaffer Ln, Tyler, TX 75702-1653 2020-11-03
1265033658 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 3506 Garber Cir, Greenville, TX 75402-6234 2020-11-03
1487255873 St. Giles Living Centers, Inc. Intermediate Care Facility, Mentally Retarded 3600 New Copeland Rd, Tyler, TX 75701-8839 2020-11-03
1306446000 Daybreak, Inc. Intermediate Care Facility, Mentally Retarded 6520 Braddock Pl, Dallas, TX 75232-2902 2020-10-30
1578179750 Keondra C Johnson Intermediate Care Facility, Mentally Retarded 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 2020-09-22
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Competitor

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City CORPUS CHRISTI
Zip Code 78410

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Dataset Information

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.

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