{"entity":{"id":10630026,"state":"FL","state_id":"N15000000674","entity_name":"COASTAL COMMUNITY HEALTH, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"2013-12-23","filing_year":2013,"business_age_years":13,"principal_address1":"841 PRUDENTIAL DRIVE","principal_address2":"SUITE 1601","principal_city":"JACKSONVILLE","principal_state":"FL","principal_zip":"32207","principal_country":"","mail_address1":"841 PRUDENTIAL DRIVE","mail_address2":"SUITE 1601","mail_city":"JACKSONVILLE","mail_state":"FL","mail_zip":"32207","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"47-1322041","jurisdiction":null,"county":null,"last_transaction_date":"12052018","report_year_1":"2025","report_date_1":"07142025","report_year_2":"2025","report_date_2":"07142025","report_year_3":"2025","report_date_3":"04072025","agent_name":"G. Scott Baity","agent_type":"P","agent_address":"841 PRUDENTIAL DRIVE","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32207","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 12:29:42","updated_at":"2026-05-09 12:29:42","last_accessed":null,"status_reason":null,"agent_name_raw":"BAITY               G. SCOTT"},"officers":[{"name":"G. D Baity","first_name":"G.","last_name":"Baity","title":"Assistant","title_roles":["Assistant"],"title_code":"asst","is_registered_agent":false,"address":"841 Prudential Drive, Suite 1802","city":"Jacksonville","state":"FL","zip":"32207","name_raw":"Baity               G.            D"},{"name":"Pam Chally","first_name":"Pam","last_name":"Chally","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"841 Prudential Drive, Suite 1601","city":"Jacksonville","state":"FL","zip":"322078372","name_raw":"Chally              Pam"},{"name":"Ilene Levenson MD","first_name":"Ilene","last_name":"Levenson","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"841 Prudential Drive","city":"Jacksonville","state":"FL","zip":"","name_raw":"Levenson            Ilene         MD"},{"name":"Michael A Mayo","first_name":"Michael","last_name":"Mayo","title":"CEO","title_roles":["CEO"],"title_code":"ceo","is_registered_agent":false,"address":"841 Prudential Drive","city":"Jacksonville","state":"FL","zip":"32207","name_raw":"Mayo                Michael       A"},{"name":"Bill D Suddath","first_name":"Bill","last_name":"Suddath","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"2415 Parkwood Drive","city":"Brunswick","state":"GA","zip":"31520","name_raw":"Suddath             Bill          D"},{"name":"Matthew A Zuino","first_name":"Matthew","last_name":"Zuino","title":"Executive","title_roles":["Executive"],"title_code":"exec","is_registered_agent":false,"address":"841 Prudential Drive, Suite 1601","city":"Jacksonville","state":"FL","zip":"32207","name_raw":"Zuino               Matthew       A"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/N15000000674"}