Coastal Haven Home
NPI 1164647277 · Mental Illness Community Based Residential Treatment Facility · Supply, NC
Coastal Haven Home is a Mental Illness Community Based Residential Treatment Facility organization in Supply, NC (NPI 1164647277).
Provider details
- NPI number
- 1164647277
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wanda Wilson, Administrator(910) 846-9196
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2008-06-27
Frequently asked questions
- What is Coastal Haven Home's NPI number?
- Coastal Haven Home's National Provider Identifier (NPI) is 1164647277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Haven Home?
- Coastal Haven Home is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Coastal Haven Home located?
- Coastal Haven Home's practice location on file with NPPES is 399 Doe Run Dr., Supply, NC 28462-6349.
- What is Coastal Haven Home's phone number?
- The practice phone number listed in the NPPES registry for Coastal Haven Home is (910) 846-9196.
- Who is the authorized official for Coastal Haven Home?
- The authorized official listed on Coastal Haven Home's NPPES record is Wanda Wilson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Haven Home's NPI active?
- Yes — Coastal Haven Home's NPI (1164647277) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.