COQUINA COVE ASSISTED LIVING (NPI# 1801223854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801223854 |
| Entity Type | Organization |
| Organization Name | COQUINA COVE ASSISTED LIVING |
| Practice Address |
3739 Sunrise Oaks Dr Port Orange FL 32129-8651 |
| Practice Telephone | 3862654732 |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |
| Authorized Official Name | PATRICIA CLINE (ADMINISTRATOR) |
| Authorized Official Telephone | 3864515923 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9574 | FL | Nursing & Custodial Care Facilities |
| Street Address |
3739 SUNRISE OAKS DR |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-8651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269411 | Abiola Byron | Registered Nurse | 3739 Sunrise Oaks Dr, Port Orange, FL 32129-8651 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| 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 |
|---|---|---|---|---|
| 1407467806 | Heavenly Assisted Living, Inc. | Assisted Living Facility | 401 Orange Ave, Port Orange, FL 32127-4444 | 2020-08-11 |
| 1619463007 | Angel's Senior Living II, LLC | Assisted Living Facility | 5855 Boggs Ford Rd, Port Orange, FL 32127-5870 | 2018-07-09 |
| 1508212010 | Pat's Loving Care Alf Inc. | Assisted Living Facility | 3783 Birch Mountain Rd, Port Orange, FL 32129-3770 | 2016-05-13 |
| 1275917130 | Coquina Cay Assisted Living | Assisted Living Facility | 5773 Pendlebury Ct, Port Orange, FL 32127-7960 | 2015-07-10 |
| 1699168468 | La Poinciana Alf, LLC | Assisted Living Facility | 200 Poinciana Ave, Port Orange, FL 32127-6318 | 2015-03-18 |
| 1821406950 | Fran's Elderly Care Inc | Assisted Living Facility | 1309 Alcorn Rd, Port Orange, FL 32129-5242 | 2014-08-01 |
| 1801211339 | Manila Home Care Inc. | Assisted Living Facility | 799 Pheasant Run Ct, Port Orange, FL 32127-1131 | 2014-02-20 |
| 1215362314 | Canalview Rest Home | Assisted Living Facility | 864 Canal View Blvd, Port Orange, FL 32129-4206 | 2013-09-07 |
| 1306180336 | Ancona Ltd., Inc. Dba Harbor Oaks Elderly Care Home | Assisted Living Facility | 158 Farmbrook Rd, Port Orange, FL 32127-6243 | 2012-11-15 |
| 1053613430 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 955 Village Trl, Port Orange, FL 32127-8916 | 2010-11-17 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
Please comment or provide details below to improve the information on COQUINA COVE ASSISTED LIVING.
| 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.