OrganizationActive
Coastal Oaks Homecare Inc
NPI 1104151000 · In Home Supportive Care Agency · Port Orange, FL
Provider details
- NPI number
- 1104151000
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sandra Yates, Director(386) 322-9375
- License
- 30211232 (FL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3869 S Nova Rd
Unit 2
Port Orange, FL 32127-4246
Phone: (386) 322-9375
Fax: (386) 761-7804
Street-level locationGet directions
Mailing address
3869 S Nova Rd
Port Orange, FL 32127-4246
Other names (DBA / former)
- Doing business as
- The Volusia County Office of Griswold Special Care
Registry dates
- Enumerated
- 2009-10-09
- Last updated
- 2009-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.