# COASTLINE CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Griswold Home Care for Greater Newport Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083495949
- **Authorized official:** DR. ALBERT DAVID PENNEY MD (OWNER)
- **Authorized official phone:** (949) 996-8848

## Contact information

- **Practice address:** 2152 DUPONT DR STE 275, IRVINE, CA 92612-1354
- **Practice address phone:** (949) 996-8848
- **Practice address fax:** (949) 996-8848
- **Mailing address:** 2152 DUPONT DR STE 275, IRVINE, CA 92612-1354
- **Mailing address phone:** (949) 996-8848
- **Mailing address fax:** (949) 996-8848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2023
- **Last updated:** 10/17/2023