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EMERALD COAST HEALTHCARE, LLC
NPI 1093384489
Nursing Facility/Intermediate Care Facility in Riverside, CA

Active since June 21, 2021
3495 JEFFERSON ST, RIVERSIDE, CA 92504(949) 397-0658 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emerald Coast Healthcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD COAST HEALTHCARE, LLC (NPI 1093384489), doing business as Emerald Coast Congregate, is a healthcare organization registered as a nursing facility/intermediate care facility in Riverside, California and active in the NPI registry since June 2021. The organization lists Adam Cortland Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1093384489
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameEMERALD COAST HEALTHCARE, LLC
Location Address3495 JEFFERSON STRiverside, CA 92504-3519
Mailing Address27702 Crown Valley Pkwy Ste D4, Box 151Ladera Ranch, CA 92694-0613 · (949) 397-0658
Phone(949) 397-0658
Organization SubpartNo
Authorized OfficialAdam Cortland GreenOwner · (949) 397-0658
Enumeration DateJune 21, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1093384489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3495 JEFFERSON ST, Riverside, CA 92504
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Other Names 1

Doing Business AsEmerald Coast Congregate

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE VILLA
Skilled Nursing Facility
3495 JEFFERSON ST
RIVERSIDE, CA 92504
Riverside County (951) 687-1617
ARC CARE CENTER RIVERSIDE, INC.
Skilled Nursing Facility
3495 JEFFERSON ST
RIVERSIDE, CA 92504
Riverside County (951) 763-7904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Coast Healthcare, LLC's NPI number?

The NPI number for Emerald Coast Healthcare, LLC is 1093384489. It was assigned to this organization in the NPPES registry on June 21, 2021. The provider is doing business as Emerald Coast Congregate.

Where is Emerald Coast Healthcare, LLC located?

Emerald Coast Healthcare, LLC is located at 3495 Jefferson St, Riverside, CA 92504. The listed phone number is (949) 397-0658.

What is Emerald Coast Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Healthcare, LLC was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.