COQUINA COVE ALF
NPI 1407437106
Assisted Living Facility in Port Orange, FL

Active since April 15, 2021
3739 SUNRISE OAKS DR, PORT ORANGE, FL 32129(386) 265-4732(407) 902-0121 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Jun 3, 2021, Apr 15, 2021 (3 updates tracked since 2021).

About Coquina Cove Alf NPPES

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

COQUINA COVE ALF (NPI 1407437106) is a healthcare organization registered as an assisted living facility in Port Orange, Florida and active in the NPI registry since April 2021. The organization lists Abiola Byron, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1407437106
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAGNES COTTAGE LLC
Location Address3739 SUNRISE OAKS DRPort Orange, FL 32129-8651
Mailing Address10957 Ledgement LnWindermere, FL 34786-6423 · (240) 550-2211 · Fax (407) 902-0121
Fax(407) 902-0121
Organization SubpartNo
Authorized OfficialAbiola ByronAdminstrator · (240) 550-2211
Enumeration DateApril 15, 2021
Last NPPES UpdateSeptember 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1407437106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
3739 SUNRISE OAKS DR, Port Orange, FL 32129

Other Names 1

Doing Business AsCoquina Cove Alf

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.

Registered Nurse
3739 SUNRISE OAKS DR
PORT ORANGE, FL 32129
Assisted Living Facility
3739 SUNRISE OAKS DR
PORT ORANGE, FL 32129

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 Agnes Cottage LLC's NPI number?

The NPI number for Agnes Cottage LLC is 1407437106. It was assigned to this organization in the NPPES registry on April 15, 2021. The provider is doing business as Coquina Cove Alf.

Where is Agnes Cottage LLC located?

Agnes Cottage LLC is located at 3739 Sunrise Oaks Dr, Port Orange, FL 32129. The listed phone number is (386) 265-4732.

What is Agnes Cottage LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Agnes Cottage LLC was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.