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Coastal Haven Home

Mental Illness Community Based Residential Treatment Facility in Supply, NC · enumerated 2007 · authorized official Wanda Wilson, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164647277

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Haven Home
Practice address 399 Doe Run Dr., Supply, NC, 28462
Enumeration date Apr 16, 2007
Last updated in NPPES Jun 27, 2008

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Wanda Wilson
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Coastal Haven Home?
Coastal Haven Home is registered in NPPES as a Mental Illness Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-27.