National Provider Identifier Database

COASTAL CARE RESIDENCE LLC
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

COASTAL CARE RESIDENCE LLC
216 APOLLO BEACH BLVD
APOLLO BEACH, FL33572
Phone: 727-674-1800
Fax:
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X
Developmental Disabilities 261QD1600X

* Indicates primary specialty

NPI Profile & details for COASTAL CARE RESIDENCE LLC

NPI Number 1336927870
Legal business name
LBN
COASTAL CARE RESIDENCE LLC
Authorized official CHEVELLE JORDAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/18/2023
Last updated 05/06/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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