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PROCARE4LIFE
NPI 1417629742
Clinic/Center - Developmental Disabilities in Davenport, FL

Active since October 05, 2021
121 VILLAVISTA CT, DAVENPORT, FL 33896(813) 458-5371(888) 522-0011 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Procare4life NPPES

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

PROCARE4LIFE (NPI 1417629742) is a healthcare organization registered as a developmental disabilities in Davenport, Florida and active in the NPI registry since October 2021. The organization lists Brenda B Coghiel, Owner, as its authorized official.

NPPES Registry Identity

NPI1417629742
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NamePROCARE4LIFE
Location Address121 VILLAVISTA CTDavenport, FL 33896-8638
Mailing Address121 Villavista CtDavenport, FL 33896-8638 · (813) 458-5371 · Fax (888) 522-0011
Phone(813) 458-5371
Fax(888) 522-0011
Organization SubpartNo
Authorized OfficialBrenda B CoghielOwner · (813) 458-5371
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1417629742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedNursing CareTaxonomy 251J00000X
121 VILLAVISTA CT, Davenport, FL 33896
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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.

YARITZA APONTE
Technician (Personal Care Attendant)
121 VILLAVISTA CT
DAVENPORT, FL 33896
Polk County (407) 436-2570
MADE FOR CARE LLC
Technician (Personal Care Attendant)
121 VILLAVISTA CT
DAVENPORT, FL 33896
Polk County (407) 436-2570

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 Procare4life's NPI number?

The NPI number for Procare4life is 1417629742. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Procare4life located?

Procare4life is located at 121 Villavista Ct, Davenport, FL 33896. The listed phone number is (813) 458-5371.

What is Procare4life's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Procare4life was last updated on October 5, 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.