# COASTAL GUARDIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093546632
- **Authorized official:** MS. VALERIYA TOROSIAN (OWNER)
- **Authorized official phone:** (212) 777-5100

## Contact information

- **Practice address:** 1178 PARISH WAY, MYRTLE BEACH, SC 29577-1694
- **Practice address phone:** (212) 777-5100
- **Mailing address:** 4873 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29577-6683
- **Mailing address phone:** (212) 777-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH1000X | Hospice Registered Nurse | — | NULL | — |
| 163WH1000X | Hospice Registered Nurse | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | NULL | — |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 01/14/2026