COASTAL SENIOR LIVING FACILITY LLC
NPI 1912762147
Assisted Living Facility in Apollo Beach, FL
- Organization
- Assisted Living Facility
About COASTAL SENIOR LIVING FACILITY LLC
This page provides the complete NPI Profile along with additional information for Coastal Senior Living Facility Llc, a provider established in Apollo Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1912762147 assigned on February 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mrs. Chevelle Jordan Rn (Owner)
- NPI
- 1912762147 Verify this NPI
- Provider Name
- COASTAL SENIOR LIVING FACILITY LLC
- Entity Type
- Organization
- Location Address
- 6024 GOLF AND SEA BLVD APOLLO BEACH, FL 33572
- Location Phone
- (813) 213-1291
- Mailing Address
- 235 APOLLO BEACH BLVD # 182 APOLLO BEACH, FL 33572
- Mailing Phone
- (727) 417-1723
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2024
- Last Update Date
- 02-16-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 3 | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 4 | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| 5 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| 6 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 7 | 385H00000X | Respite Care Facility | Respite Care |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912762147, enumerated as an "organization" on February 16, 2024.
The provider is located at 6024 GOLF AND SEA BLVD APOLLO BEACH, FL 33572 and the phone number is (813) 213-1291.
Assisted Living Facility with taxonomy code 310400000X.
