# COASTAL HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1619696127
- **Authorized official:** JONATHAN SASSOVER (ADMINISTRATOR)
- **Authorized official phone:** (818) 377-6202

## Contact information

- **Practice address:** 21707 HAWTHORNE BLVD STE 106, TORRANCE, CA 90503-7010
- **Practice address phone:** (310) 543-3211
- **Mailing address:** 4200 SEPULVEDA BLVD STE 101, CULVER CITY, CA 90230-4742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 08/26/2022
