CORAL SAND INC (NPI# 1720478001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720478001 |
| Entity Type | Organization |
| Organization Name | CORAL SAND INC |
| Practice Address |
7800 Abbott Ave Miami Beach FL 33141-2022 |
| Practice Telephone | 3058673232 |
| Mailing Telephone | 3058673232 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | MR. CORDINEL GORDON (ADMINISTRATOR) |
| Authorized Official Telephone | 3058673232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL9375 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142404100 | 05 |
| Street Address |
7800 ABBOTT AVE |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33141-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316656 | Wendy Miriam Mitchell | Counselor | 8010 Tatum Waterway Dr., Suite #1, Miami Beach, Fl, FL 33141 | 2019-03-23 |
| 1669943858 | Heather Danielle Ohms | Counselor | 1881 79th Street Causeway, Apt 1907, Miami Beach, FL 33141 | 2018-12-16 |
| 1386158251 | Claudia Maria Garcia Gomez | Behavior Technician | 7524 Hispanola Ave, North Bay Village, FL 33141 | 2017-11-29 |
| 1003336314 | Yaquelin Maria Acosta | Behavior Technician | 7810 Tatum Waterway Dr, Apt 8, Miami Beach, FL 33141 | 2017-06-27 |
| 1548793037 | Rayselis Alfonso Penate | Behavioral Analyst | 335 79 St Apt 10, Miami Beach, FL 33141 | 2017-04-11 |
| 1407388549 | B.o.r.n., Inc. | Midwife | 1255 Normandy Dr, Miami Beach, FL 33141 | 2017-03-29 |
| 1003362385 | Laura Sanchez | Specialist | 7601 E Treasure Dr Cu 1, North Bay Village, FL 33141 | 2016-08-28 |
| 1811440779 | Humberto Fernandez | Behavior Technician | 6965 Harding Ave Apt 501, Miami Beach, FL 33141 | 2016-07-27 |
| 1053790501 | Aaron Lloyd Cross | General Practice | 1501 71st St # 9303, Miami Beach, FL 33141 | 2015-05-29 |
| 1639501463 | Kayla Ertter | Speech-Language Pathologist | 20197 Ne 16th Place, Second Floor, North Miami, FL 33141 | 2013-08-03 |
| Find all providers in zip 33141 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306989835 | Pioneer Adult Residential Facility Inc. | Assisted Living Facility | 1311 Biarritz Dr, Miami Beach, FL 33141-3635 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33141 |
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| 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.