Coastal Skilled Care Providers LLC

Coastal Skilled Care Providers LLC is a healthcare organization registered as Internal Medicine Physician in Ormond Beach, FL, holding Type 2 (organization) NPI 1508272683 since 2014. The authorized official on file is Lothar Gebauer, Officer.

✓ Active NPI ✓ Valid NPI checksum

NPI	1508272683
Entity type	Organization (Type 2)
Legal business name	Coastal Skilled Care Providers LLC
Practice address	767 TIMOTHY ST, Ormond Beach, FL, 32174
Phone	4074969399
Enumeration date	2014-07-09
Last updated in NPPES	2014-07-09

Authorized official

Name	Lothar Gebauer
Title	Officer
Phone	4074969399

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Primary	ME98984	FL

Copy-ready billing details

Provider: Coastal Skilled Care Providers LLC
NPI: 1508272683
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 767 TIMOTHY ST, Ormond Beach, FL, 32174

Verify this record

Cross-check NPI 1508272683 against the authoritative CMS record: view Coastal Skilled Care Providers LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-07-09. Verify at npiregistry.cms.hhs.gov.

Where is Coastal Skilled Care Providers LLC located?

The practice location on file with NPPES is in Ormond Beach, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-09.