COASTAL SENIOR LIVING FACILITY LLC
NPI 1912762147
Assisted Living Facility in Apollo Beach, FL

Active since February 16, 2024
6024 GOLF AND SEA BLVD, APOLLO BEACH, FL 33572(813) 213-1291 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Senior Living Facility Llc NPPES

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

COASTAL SENIOR LIVING FACILITY LLC (NPI 1912762147), doing business as Coastal Senior Living, is a healthcare organization registered as an assisted living facility in Apollo Beach, Florida and active in the NPI registry since February 2024. The organization lists Chevelle Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1912762147
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOASTAL SENIOR LIVING FACILITY LLC
Location Address6024 GOLF AND SEA BLVDApollo Beach, FL 33572-2628
Mailing Address235 Apollo Beach Blvd # 182Apollo Beach, FL 33572-2251 · (727) 417-1723
Organization SubpartNo
Authorized OfficialChevelle JordanOwner · (727) 417-1723
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
NPI 1912762147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

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.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
6024 GOLF AND SEA BLVD, Apollo Beach, FL 33572

Other Names 1

Doing Business AsCoastal Senior Living

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 Coastal Senior Living Facility LLC's NPI number?

The NPI number for Coastal Senior Living Facility LLC is 1912762147. It was assigned to this organization in the NPPES registry on February 16, 2024. The provider is doing business as Coastal Senior Living.

Where is Coastal Senior Living Facility LLC located?

Coastal Senior Living Facility LLC is located at 6024 Golf And Sea Blvd, Apollo Beach, FL 33572. The listed phone number is (813) 213-1291.

What is Coastal Senior Living Facility 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 Coastal Senior Living Facility LLC was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.