COVENTRY ASSISTED LIVING
NPI 1427393289
Assisted Living Facility in Plant City, FL

Active since December 05, 2012CLIA 10D2208579 · Waiver
415 N. WILDER RD, PLANT CITY, FL 33566(813) 441-4761(813) 704-4745 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Coventry Assisted Living NPPES

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

COVENTRY ASSISTED LIVING (NPI 1427393289) is a healthcare organization registered as an assisted living facility in Plant City, Florida and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Cherry Hallback, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427393289
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFLORRY CREATIVE CARE CORPORATION
Location Address415 N. WILDER RDPlant City, FL 33566
Mailing Address415 N. Wilder RdPlant City, FL 33566 · (813) 441-4761 · Fax (813) 704-4745
Fax(813) 704-4745
Organization SubpartYesParent: Florry Creative Care Corp
Authorized OfficialCherry HallbackAdministrator · (813) 704-6918
Enumeration DateDecember 5, 2012
Last NPPES UpdateJanuary 9, 2020
NPI 1427393289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · AL12181
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.
415 N. WILDER RD, Plant City, FL 33566

Other Names 1

Doing Business AsCoventry Assisted Living

Other Identifiers 1

Medicaid104395400FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2208579

Coventry Assisted Living · Plant City, FL
Active · expires Jan 6, 2027
CLIA Number10D2208579
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorCherry Hallback
Laboratory Phone(813) 704-6918
Laboratory LocationCoventry Assisted Living415 N Wilder Rd, Plant City, FL 33566
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Florry Creative Care Corporation's NPI number?

The NPI number for Florry Creative Care Corporation is 1427393289. It was assigned to this organization in the NPPES registry on December 5, 2012. The provider is doing business as Coventry Assisted Living.

Where is Florry Creative Care Corporation located?

Florry Creative Care Corporation is located at 415 N. Wilder Rd, Plant City, FL 33566. The listed phone number is (813) 441-4761.

What is Florry Creative Care Corporation's specialty?

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

Does Florry Creative Care Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2208579) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florry Creative Care Corporation was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.