Provider Demographics
NPI:1982997664
Name:CENTRAL COAST SENIOR SERVICES, INC.
Entity type:Organization
Organization Name:CENTRAL COAST SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-649-3363
Mailing Address - Street 1:22 LOWER RAGSDALE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5775
Mailing Address - Country:US
Mailing Address - Phone:831-649-3363
Mailing Address - Fax:
Practice Address - Street 1:22 LOWER RAGSDALE DR
Practice Address - Street 2:SUITE E
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5775
Practice Address - Country:US
Practice Address - Phone:831-649-3363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care