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General NPI Number Information
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NPI Number | 1356217376
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Entity Type | Organization
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Legal Business Name | COASTAL CCARE SOLUTIONS
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2158 BLUESTONE CIR
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City | CHULA VISTA
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State | CA
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Zip | 91913-4001
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Country | US
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Telephone | 619-392-4485
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Fax |
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Provider Business Mailing Address
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Address Line | 830 KUHN DR UNIT 211423
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City | CHULA VISTA
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State | CA
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Zip | 91921-8058
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Country | US
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Telephone | 619-392-4485
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEYSHIRA MONEE KEELING
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Credential |
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Telephone | 757-943-6962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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