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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
103 YACHT HAVEN DRIVE |
City | COCOA BEACH |
State | FL |
Zip Code | 32931 |
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 |
Find all providers in zip 32931 |
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 |
---|---|---|---|---|
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 |
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1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
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 |
Find all providers with the same taxonomy |
City | COCOA BEACH |
Zip Code | 32931 |
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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.