Organization Active NPI

Coral Way Senior Care, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1144403692
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11044 Issued in FL
Legal business name
CORAL WAY SENIOR CARE, INC.
Practice address
2451 SW 143Rd CT
Miami, FL 33175-2479
Phone
(305) 551-1439
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dania Cancino
Title
President
Phone
(305) 551-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11044 FL Primary

Addresses

Primary practice location

2451 SW 143Rd CT
Miami, FL 33175-2479

Mailing address

2451 SW 143Rd CT
Miami, FL 33175-2479
Phone (305) 551-1439

Other identifiers 1

IdentifierTypeStateIssuer
142880200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1144403692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 SW 143RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752479",
            "telephone_number": "305-551-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 SW 143RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752479",
            "telephone_number": "305-551-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL WAY SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "CANCINO",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-551-1439"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142880200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.