NPIMap

Organization Active NPI

Coastal Center Operations LLC

  • Skilled Nursing Facility
  • Daytona Beach, FL
National Provider Identifier
1164034567
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COASTAL CENTER OPERATIONS LLC
Practice address
820 N Clyde Morris Blvd
Daytona Beach, FL 32117-4594
Phone
(386) 274-4575
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Mr. Solomon Klein
Title
Member
Phone
(347) 909-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

820 N Clyde Morris Blvd
Daytona Beach, FL 32117-4594

Mailing address

820 N Clyde Morris Blvd
Daytona Beach, FL 32117-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103001766 FL Part A Provider - Skilled Nursing Facility 3173933199 Practice locations: Daytona Beach, FL

Skilled nursing facility certification: CCN 105565

Legal name
COASTAL CENTER OPERATIONS LLC
Doing business as
COASTAL HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 6, 1987
Last certification
Apr 10, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Aston Health, LLC
Organization structure
LLCProprietary
Incorporated
Aug 13, 2020 in DE
Enrollment address
820 N Clyde Morris Blvd
Daytona Beach, FL 32117-4594
Nursing home name
COASTAL HEALTH AND REHABILITATION CENTER
Affiliated entity
ASTON HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Coastal Health and Rehabilitation CenterCCN 105565
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 6, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.4 residents per day on average
Chain
Aston Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0715478Coastal Center Operations LLC820 N Clyde Morris Blvd, Daytona Beach, FL 32117Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Blue Spring Healthcare Partners LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 13, 2020 100%
Aston Healthcare LLC Organization, Brooklyn, NY LLC, Consulting firm, For-profit Adp of the SNF Jan 1, 2022
Anneka Blair Individual Operational/Managerial Control May 20, 2021
Allecia J. McDonald Individual Operational/Managerial Control Nov 3, 2020
Coastal Center Operations Holdings LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 13, 2020 100%
Donna Wildes Individual Operational/Managerial Control Aug 28, 2025
Adp of the SNF Aug 28, 2025
Husam E Eddin Individual Operational/Managerial Control May 11, 2022
Adp of the SNF Sep 26, 2025
Joshua Garcia Individual Operational/Managerial Control Dec 23, 2023
Adp of the SNF Oct 8, 2025
Samuel Gutman Individual 5% Or Greater Indirect Ownership Interest Aug 13, 2020 20%
Indirect Ownership Interest Aug 13, 2020 20%
Leopold Friedman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2026 80%
Indirect Ownership Interest Jan 1, 2026 80%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1164034567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174594",
            "telephone_number": "386-274-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CENTER OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-909-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.