| Organization Name: | COAST 2 COAST HEALTHCARE LLC |
| NPI Number: | 1386045920 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT COLLETTE (OWNER) |
| Mailing Address: | 27201 Puerta Real Suite 300 Mission Viejo |
| State: | CA US |
| Postal Code: | 926917359 |
| Phone Number: | 7144941036 |
| Fax Number: | 7144941036 |
| NPI Enumeration Date: | 09/15/2014 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |