COASTAL LIVING LLC (NPI# 1568705606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568705606 |
| Entity Type | Organization |
| Organization Name | COASTAL LIVING LLC |
| Other Organization Name | BANANA RIVER VILLAS |
| Practice Address |
1275 N Banana River Dr Merritt Island FL 32952-5788 |
| Mailing Address |
1800 33rd St Suite 200 Orlando FL 32839-8852 |
| Practice Telephone | 3217046190 |
| Practice Fax Number | 4073866267 |
| Mailing Telephone | 4074515894 |
| Mailing Fax Number | 4073866267 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | MRS. ANDREA E FINES (OWNER) |
| Authorized Official Telephone | 4074515894 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11441 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Banana River Villas | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COASTAL LIVING LLC | 400 Nw Gilman Blvd # 376, Issaquah, WA 98027-0285 |
| Street Address |
1275 N BANANA RIVER DR |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518436542 | Coastal Living LLC Dba Banana River Villas Assisted Living Facility | Assisted Living Facility | 1275 N Banana River Dr, Merritt Island, FL 32952-5757 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477069961 | Christopher Management, Inc. | Assisted Living Facility | 320 Fortenberry Rd, Merritt Island, FL 32952-3621 | 2017-12-19 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1306244553 | Salus Beachside LLC | Assisted Living Facility | 1600 Neptune Dr, Merritt Island, FL 32952-5611 | 2014-12-19 |
| 1104240159 | Alan Gerard Spears | Assisted Living Facility | 1275 N Banana River Dr Unit 5, Merritt Island, FL 32952-5788 | 2014-02-11 |
| 1538505672 | All One Family Dolphin Inc | Assisted Living Facility | 1405 Dolphin Ave, Merritt Island, FL 32952-5721 | 2013-05-16 |
| 1396088266 | Our House Alf, Inc. | Assisted Living Facility | 315 Wainai Dr, Merritt Island, FL 32953-3294 | 2013-03-29 |
| 1629311519 | Melodie's Place LLC | Assisted Living Facility | 715 S Tropical Trl, Merritt Island, FL 32952-4952 | 2013-03-29 |
| 1578806519 | Norwood Assisted Living, Inc. | Assisted Living Facility | 325 Norwood St, Merritt Island, FL 32953-4764 | 2013-03-28 |
| 1568705655 | Sela Cedar Creek LLC | Assisted Living Facility | 4279 Judith Ave, Merritt Island, FL 32953-8166 | 2013-03-27 |
| 1598007791 | Yan Yan Healthcare | Assisted Living Facility | 585 Allen Dr, Merritt Island, FL 32952-4990 | 2013-03-26 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
Please comment or provide details below to improve the information on COASTAL LIVING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.