Healthcare Provider Details

I. General information

NPI: 1790606465
Provider Name (Legal Business Name): COASTAL CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH GA
31411-2962
US

IV. Provider business mailing address

4 SKIDAWAY VILLAGE WALK STE B
SAVANNAH GA
31411-2962
US

V. Phone/Fax

Practice location:
  • Phone: 912-598-6312
  • Fax:
Mailing address:
  • Phone: 912-598-6312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MERLAN POWELL
Title or Position: EXECUTIVE DIRECTOR
Credential: CPA
Phone: 478-244-0351