MAGNOLIA HOUSE ASSISTED LIVING FACILITY LLC


Address: 103 Yacht Haven Drive, Cocoa Beach, FL 32931
Phone: 3215433903

MAGNOLIA HOUSE ASSISTED LIVING FACILITY LLC (NPI# 1811384696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811384696
Entity Type Organization
Organization Name MAGNOLIA HOUSE ASSISTED LIVING FACILITY LLC
Practice Address 103 Yacht Haven Drive
Cocoa Beach
FL 32931
Practice Telephone 3215433903
Mailing Telephone 3215433903
Enumeration Date 2015-04-20
Last Update Date 2015-04-20
Authorized Official Name MICHAEL R CHAPMAN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3215433903
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 103 YACHT HAVEN DRIVE
City COCOA BEACH
State FL
Zip Code 32931

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699275016 Daniel Edgar Ferrier Specialist/Technologist 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 2018-02-13
1891206793 Peace Club Inc. Counselor 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 2017-10-18
1801236807 Muhammad Ishfaq Internal Medicine 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 2013-07-05
1053658799 Charles King Pharmacist 2067 North Atlantic Ave, Cocoa Beach, FL 32931 2013-01-15
1033464441 Cori Megan Daniels Nurse Practitioner 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 2012-07-23
1871850313 Adel Tadros Fahmy Obstetrics & Gynecology 68 Country Club Road, Cocoa Beach, FL 32931 2012-04-23
1497021760 Armstrong Chiropractic Family Center, Inc. Clinic/Center 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 2012-03-30
1710261516 Jill L Carey Speech-Language Pathologist 50 Country Club Rd, Cocoa Beach, FL 32931 2011-09-28
1700173416 Barbara Greene Registered Nurse 26 West Point Drive, Cocoa Beach, FL 32931 2011-07-01
1922203207 Angela Carol Moates Counselor 1980 N. Atlantic Ave., Suite 1024, Cocoa Beach, FL 32931 2007-06-18
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811230782 Horizon House Assisted Living Inc. Assisted Living Facility 119 W Suwannee Ln, Cocoa Beach, FL 32931-3649 2013-03-29
1184967184 Roseann Judith Simone Assisted Living Facility 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 2013-03-28
1437491651 Magnolia House Assisted Living Facility 103 Yacht Haven Dr, Cocoa Beach, FL 32931-2627 2013-03-26
1205194545 The Wilson Place Assisted Living Facility 117 Wilson Ave, Cocoa Beach, FL 32931-3981 2012-04-24
1588961866 Jacobs Ladder Family II Assisted Living II Assisted Living Facility 123 Boca Ciega Rd, Cocoa Beach, FL 32931-2601 2011-02-22
1598104507 Magnolia Court Assisted Living Assisted Living Facility 103 Yacht Haven Dr, Cocoa Beach, FL 32931-2627 2013-06-24
1235472341 The Wilson Place Inc Assisted Living Facility 117 Wilson Ave, Cocoa Beach, FL 32931-3981 2013-03-27

Providers in the same taxonomy and state

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1982205787 Pd & Sr, L.L.C. Assisted Living Facility 730 Frisco St Se, Palm Bay, FL 32909-3711 2020-11-06
1982205019 Cantillo Love & Care LLC Assisted Living Facility 1045 W 23rd St, Hialeah, FL 33010-1922 2020-11-04
1194326728 Bliss Life Residential Care Assisted Living Facility 402 Arthur Ave, Lehigh Acres, FL 33936-7412 2020-11-02
1811597404 Huguette Mortimer Dupont Assisted Living Facility 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 2020-11-01
1750981841 Senior Living Properties IIi, LLC Assisted Living Facility 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 2020-10-28
1417556028 5081 Cambridge LLC Assisted Living Facility 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 2020-10-23
1134728926 Pacifica Lauderhill LLC Assisted Living Facility 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 2020-10-22
1760081749 Hsre-ahr Zephyrhills LLC Assisted Living Facility 38130 Pretty Pond Road, Zephyrhills, FL 33540 2020-10-21
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Competitor

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City COCOA BEACH
Zip Code 32931

Improve Information

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Dataset Information

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.

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