COASTAL CARE CORPORATION (NPI# 1629097076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629097076 |
| Entity Type | Organization |
| Organization Name | COASTAL CARE CORPORATION |
| Other Organization Name | COASTAL CARAVAN |
| Practice Address |
2150 Se Salerno Rd Stuart FL 34997-6572 |
| Mailing Address |
Po Box 9033 Stuart FL 34995-9033 |
| Practice Telephone | 7722234903 |
| Practice Fax Number | 7722235622 |
| Mailing Telephone | 7722234903 |
| Mailing Fax Number | 7722235622 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | ROBERT LESTER LORD (PRESIDENT) |
| Authorized Official Telephone | 7722235945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 4102 | FL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 088621100 | 05 |
| Other Name | Type Code |
|---|---|
| COASTAL CARAVAN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801129747 | Coastal Care Corporation | Clinic/Center | 1651 Se Tiffany Ave Ste 100, Port St Lucie, FL 34952-7564 | 2009-09-10 |
| 1366469975 | Coastal Care Corporation | Clinic/Center | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2006-07-17 |
| 1578598793 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2006-07-12 |
| 1831168533 | Coastal Care Corporation | Clinic/Center | 3801 S Kanner Hwy Ste 102, Stuart, FL 34994-4801 | 2006-03-15 |
| 1396252821 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2018-01-05 |
| 1821147059 | Coastal Care Corporation | Family Medicine | 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 | 2007-01-09 |
| 1194873018 | Coastal Care Corporation | Family Medicine | 11600 Se Federal Hwy, Hobe Sound, FL 33455-5213 | 2007-01-08 |
| 1568510618 | Coastal Care Corporation | Family Medicine | 3066 Sw Martin Downs Blvd, Unit 6 Ste B, Palm City, FL 34990-2683 | 2007-01-08 |
| 1609989391 | Coastal Care Corporation | Clinic/Center | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2006-08-16 |
| 1316966336 | Coastal Care Corporation | Clinic/Center | 509 Se Riverside Dr, Stuart, FL 34994-2579 | 2006-07-19 |
| Street Address |
2150 SE SALERNO RD |
| City | STUART |
| State | FL |
| Zip Code | 34997-6572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619212834 | Gracie A Turner | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2012-11-28 |
| 1053622183 | Anthony Liberatore | Internal Medicine | 2150 Se Salerno Rd, Stuart, FL 34997 | 2010-06-23 |
| 1003051699 | Laura Munoz Beringer | Internal Medicine | 2150 Se Salerno Rd, Stuart, FL 34997-6572 | 2008-12-10 |
| 1639337140 | Gary J Guzzardo, M.d., P.a. | Specialist | 2150 Se Salerno Rd, Suite 200, Stuart, FL 34997-6572 | 2008-05-30 |
| 1861545303 | Jay Waddadar | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2007-01-19 |
| 1720143985 | Roxanne E Stuart | Nurse Practitioner | 2150 Se Salerno Rd, Suite 116, Stuart, FL 34997-6572 | 2006-12-27 |
| 1629086020 | Matthew R Speicher | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2006-08-03 |
| 1255346003 | Genon Michelle Wicina | Pediatrics | 2150 Se Salerno Rd, Suite 116, Stuart, FL 34997-6572 | 2006-07-30 |
| 1093729808 | William S Ritter | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2006-07-28 |
| 1376557496 | David S Mordes | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467923128 | Gem Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1 Se Ocean Blvd, Stuart, FL 34994-2214 | 2018-12-06 |
| 1568952554 | Treasure Coast Mobility Services | Non-emergency Medical Transport (VAN) | 921 Se Hall St, Stuart, FL 34994-5613 | 2018-05-15 |
| 1710401955 | Landmark Transport LLC | Non-emergency Medical Transport (VAN) | 227 Landmark Dr, Stuart, VA 24171-9400 | 2017-07-31 |
| 1265999858 | Foothills Transportation LLC | Non-emergency Medical Transport (VAN) | 371 Nettle Ridge Loop, Stuart, VA 24171-2653 | 2019-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932588 | Gy Med Transport LLC | Non-emergency Medical Transport (VAN) | 1236 Old England Loop, Sanford, FL 32771-6581 | 2020-11-03 |
| 1902406994 | Nds Solutions, Corp. | Non-emergency Medical Transport (VAN) | 3033 Sw 148th Pl, Miami, FL 33185-4089 | 2020-10-28 |
| 1477152965 | On Time Trans Inc. | Non-emergency Medical Transport (VAN) | 4496 20th Pl Sw, Naples, FL 34116-6418 | 2020-10-26 |
| 1619576113 | Cvjv Enterprise Corp | Non-emergency Medical Transport (VAN) | 8180 Nw 36th St Ste 100j, Doral, FL 33166-6650 | 2020-10-26 |
| 1407455082 | Yanet Benitez | Non-emergency Medical Transport (VAN) | 18962 Sw 113th Pl, Miami, FL 33157-7564 | 2020-10-23 |
| 1518566579 | Trans-care of Panama | Non-emergency Medical Transport (VAN) | 401 N Church Ave, Panama City, FL 32401-4763 | 2020-10-21 |
| 1992304224 | Kanton Enzor | Non-emergency Medical Transport (VAN) | 50 Sheline Dr, Havana, FL 32333-4760 | 2020-10-19 |
| 1912506122 | First Response Transport, LLC | Non-emergency Medical Transport (VAN) | 3015 9th Avenue Dr E, Palmetto, FL 34221-2403 | 2020-10-19 |
| 1962009696 | Door To Door Senior Transportation, LLC | Non-emergency Medical Transport (VAN) | 1802 Sw Del Rio Blvd, Port Saint Lucie, FL 34953-1309 | 2020-10-06 |
| 1720685530 | Ricardo Jose Restrepo | Non-emergency Medical Transport (VAN) | 8351 Sands Point Blvd Apt A104, Tamarac, FL 33321-8541 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.