# COASTAL COMPANION CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Instead Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780283804
- **Authorized official:** DINAH PICKETT (OWNER)
- **Authorized official phone:** (954) 505-7957

## Contact information

- **Practice address:** 2131 HOLLYWOOD BLVD STE 503, HOLLYWOOD, FL 33020-6753
- **Practice address phone:** (954) 505-7957
- **Practice address fax:** (954) 744-7408
- **Mailing address:** 2131 HOLLYWOOD BLVD STE 503, HOLLYWOOD, FL 33020-6753
- **Mailing address phone:** (954) 505-7957
- **Mailing address fax:** (954) 744-7408

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020