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General NPI Number Information
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NPI Number | 1629998836
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Entity Type | Organization
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Legal Business Name | COASTAL HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 1275 W GRANADA BLVD STE 6A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8105
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Country | US
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Telephone | 386-281-7372
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Fax | 888-261-3967
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Provider Business Mailing Address
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Address Line | 1275 W GRANADA BLVD STE 6A 1275 W GRANADA BLVD STE 6A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8105
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Country | US
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Telephone | 386-281-7372
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Fax | 386-281-7372
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Authorized Official
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Title or Position | MANAGING MANAGER
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Name | MRS. BRENDA KABBES
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Credential | KABBES
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Telephone | 386-281-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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