COASTAL HORIZONS CENTER, INC. (NPI# 1992905640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992905640 |
| Entity Type | Organization |
| Organization Name | COASTAL HORIZONS CENTER, INC. |
| Practice Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9103430145 |
| Practice Fax Number | 9103415779 |
| Mailing Telephone | 9103430145 |
| Mailing Fax Number | 9103415779 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MARGARET WELLER STARGELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 9103430145 |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL HORIZONS CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-065-011 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300416Q | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922456052 | Coastal Horizons Center, Inc. | Family Medicine | 1307 Market St, New Hanover High School, Wilmington, NC 28401-4331 | 2016-05-31 |
| 1447608575 | Coastal Horizons Center, Inc. | Family Medicine | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2016-05-31 |
| 1922483874 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2015-07-21 |
| 1003050634 | Coastal Horizons Center, Inc. | Psychologist | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1831333467 | Coastal Horizons Center, Inc. | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1629278361 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1790985448 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| 1184824823 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| 1174723829 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1710187463 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| Street Address |
615 SHIPYARD BLVD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254438 | Elizabeth A Deaton | Family Medicine | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2005-06-08 |
| 1447850458 | Heather Black | Nurse Practitioner | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-28 |
| 1346847860 | Hayley Mitchell | Physician Assistant | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-07 |
| 1013514215 | Danielle Margaret Robbins | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-01 |
| 1972118909 | Brittany Cole Mckeon | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-15 |
| 1376157230 | Jayce Noelle Inscoe | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-08 |
| 1780298786 | Elizabeth Marie Barber | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-07 |
| 1942811849 | Brianna Little Wells | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-13 |
| 1679184626 | Logan Shontez Ellison | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-13 |
| 1538770649 | Cameron Staley | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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] |
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|---|---|---|---|---|
| 1891307070 | Aviva Health Care Services Inc | Community/Behavioral Health | 6 Denny Rd Ste 104, Wilmington, DE 19809-3444 | 2020-08-19 |
| 1679192926 | Wraparound Maryland, Inc | Community/Behavioral Health | 105 Rogers Rd Ste A, Wilmington, DE 19801-5619 | 2020-04-15 |
| 1457983165 | Alapocas Collaborative Care, LLC | Community/Behavioral Health | 1601 Concord Pike Ste 66-68, Wilmington, DE 19803-3612 | 2020-02-11 |
| 1477011211 | M&l Prodigy Healthcare Inc | Community/Behavioral Health | 1 Jewel Dr, Wilmington, MA 01887-3385 | 2019-03-11 |
| 1457824369 | Ella Stanley Therapeutic Services, Inc. | Community/Behavioral Health | 1000 N West St Ste 1294, Wilmington, DE 19801-1050 | 2019-01-03 |
| 1134608136 | Alliance Behavioral Health | Community/Behavioral Health | 24505 S Avalon Blvd Apt 12, Wilmington, CA 90744-1068 | 2018-08-09 |
| 1063999688 | Tlc Operations, Inc | Community/Behavioral Health | 28 Beauregard Dr, Wilmington, NC 28412-6702 | 2018-07-26 |
| 1245752765 | Janelle G. Evans LLC | Community/Behavioral Health | 27 Tamarack Ave, Wilmington, DE 19805-5049 | 2017-07-17 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1356881551 | Jay's House, Inc | Community/Behavioral Health | 25 N Pennewell Dr, Wilmington, DE 19809-3313 | 2017-03-07 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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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.