COASTAL CONCIERGE SERVICES LLC
NPI 1144671553
Custodial Care Facility - Adult Care Home in Stuart, FL

NPI Status: Active since June 27, 2016

Contact Information

2690 SE WILLOUGHBY BLVD
STUART, FL
ZIP 34994
Phone: (772) 485-8931

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About COASTAL CONCIERGE SERVICES LLC

This page provides the complete NPI Profile along with additional information for Coastal Concierge Services Llc, a provider established in Stuart, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1144671553 assigned on June 2016. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Mark Eckstrom (Manager)

NPI
1144671553
Provider Name
COASTAL CONCIERGE SERVICES LLC
Entity Type
Organization
Location Address
2690 SE WILLOUGHBY BLVD STUART, FL 34994
Location Phone
(772) 485-8931
Mailing Address
2690 SE WILLOUGHBY BLVD STUART, FL 34994
Mailing Phone
(772) 485-8931
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2016
Last Update Date
06-27-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License State
FL
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK ECKSTROM

Authorized Official Title
MANAGER
Authorized Official Phone
(772) 485-8931

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L16000112704OTHER (01)FLDOCUMENT NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144671553
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841272510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 2 + 7 + 2 + 5 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1144671553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144671553, enumerated as an "organization" on June 27, 2016.

The provider is located at 2690 SE WILLOUGHBY BLVD STUART, FL 34994 and the phone number is (772) 485-8931.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.