Coastal Guardians Llc is a
Clinic/center based in Myrtle Beach, South Carolina. Coastal Guardians Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1178 Parish Way, Myrtle Beach, South Carolina. It can be reached at their office (for appointments etc.) via phone at
(212) 777-5100.
NPI number for Coastal Guardians Llc is 1093546632 and their current mailing address is 4873 Highway 17 Byp S, Myrtle Beach, South Carolina. Coastal Guardians Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093546632.
Healthcare Provider's Profile
| Full Name | Coastal Guardians Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 1178 Parish Way, Myrtle Beach, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093546632
- Provider Enumeration Date: 08/13/2024
- Last Update Date: 01/14/2026
Medical Identifiers
Medical identifiers for Coastal Guardians Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093546632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 163WH1000X | Registered Nurse - Hospice | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coastal Guardians Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Coastal Guardians Llc
4873 Highway 17 Byp S,
Myrtle Beach, SC 29577-6683
Ph: (212) 777-5100 | Coastal Guardians Llc
1178 Parish Way,
Myrtle Beach, SC 29577-1694
Ph: (212) 777-5100 |
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