1. Home
  2. Directory
  3. Florida
  4. Sanderson
  5. Custodial Care Facility
  6. NPI Profile

CORY COLEMAN
NPI 1306656624
Custodial Care Facility - Adult Care Home in Sanderson, FL

Active since January 09, 2025
14164 US HIGHWAY 90, SANDERSON, FL 32087(904) 535-9302(904) 397-2699 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cory Coleman NPPES

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

CORY COLEMAN (NPI 1306656624) is an individual adult care home provider in Sanderson, Florida, licensed in Florida (6907127) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1306656624
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameCORY COLEMAN
Location Address14164 US HIGHWAY 90Sanderson, FL 32087-2356
Mailing Address14164 Us Highway 90Sanderson, FL 32087-2356 · (904) 535-9302 · Fax (904) 397-2699
Phone(904) 535-9302
Fax(904) 397-2699
Sole ProprietorYes
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1306656624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in FL · 6907127
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
14164 US HIGHWAY 90, Sanderson, FL 32087
Open in Google Maps ↗

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 Cory Coleman's NPI number?

The NPI number for Cory Coleman is 1306656624. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Cory Coleman located?

Cory Coleman practices at 14164 Us Highway 90, Sanderson, FL 32087. The listed phone number is (904) 535-9302.

What is Cory Coleman's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Cory Coleman was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.