OrganizationSignature Coastal, Llc(Signature Healthcare At Home)Home HealthAgenciesPractice Address798 SE Highway 101, Lincoln City, OR 97367-2715(541) 264-7823(844) 744-2200PECOS EnrollmentBased on the most recent information from CMS, provider Signature Coastal, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831653989Provider TypeOrganizationFull NameSignature Coastal, LlcOther NameSignature Healthcare At HomeSubpartNoEnumeration Date1/23/2019Last Updated1/18/2023Contact InformationPractice LocationPractice Address798 SE Highway 101, Lincoln City, OR 97367-2715Phone(541) 264-7823FaxUnlisted FaxMailing LocationMailing Address7632 SW Durham Rd Ste 105, Tigard, OR 97224-7597Phone(844) 744-2200FaxUnlisted FaxAuthorized OfficialNameKofstad, Mary (President)Phone(971) 224-2033Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID500776028DescriptionMedicaidIssuerUnlistedOregon