Healthcare Provider Details

I. General information

NPI: 1811827314
Provider Name (Legal Business Name): COASTAL HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 HEALTHWAY DR
SALISBURY MD
21804-4470
US

IV. Provider business mailing address

1113 HEALTHWAY DR
SALISBURY MD
21804-4470
US

V. Phone/Fax

Practice location:
  • Phone: 410-742-8732
  • Fax: 410-742-8732
Mailing address:
  • Phone: 410-742-8732
  • Fax: 410-742-8732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE M BELANGER
Title or Position: CFO
Credential:
Phone: 410-742-8732