A SUNCOAST LIFE, INC.
NPI 1306436159
Case Manager/Care Coordinator in Largo, FL

Active since January 25, 2021
1100 E BAY DR # G-78, LARGO, FL 33770(239) 888-3111 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About A Suncoast Life, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A SUNCOAST LIFE, INC. (NPI 1306436159) is a healthcare organization registered as a case manager/care coordinator in Largo, Florida and active in the NPI registry since January 2021. The organization lists Johnathan Eric Fourthman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1306436159
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameA SUNCOAST LIFE, INC.
Location Address1100 E BAY DR # G-78Largo, FL 33770-2541
Mailing Address1100 E Bay Dr # G-78Largo, FL 33770-2541 · (239) 888-3111
Organization SubpartNo
Authorized OfficialJohnathan Eric FourthmanPresident/owner · (239) 888-3111
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
NPI 1306436159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1100 E BAY DR # G-78, Largo, FL 33770

Other Names 1

Doing Business AsA Suncoast Life, Inc.

Other Identifiers 1

Medicaid1689090979FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Suncoast Life, Inc.'s NPI number?

The NPI number for A Suncoast Life, Inc. is 1306436159. It was assigned to this organization in the NPPES registry on January 25, 2021.

Where is A Suncoast Life, Inc. located?

A Suncoast Life, Inc. is located at 1100 E Bay Dr # G-78, Largo, FL 33770. The listed phone number is (239) 888-3111.

What is A Suncoast Life, Inc.'s specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for A Suncoast Life, Inc. was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.