Coral Reef Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORAL REEF ALF LLC

Practice address

325 Gastin St SW
Palm Bay, FL 32908-1241

Phone

(321) 208-1172

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Rhode H Nosistel

Title

Administrator

Phone

(321) 208-1172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1235663980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CORAL REEF AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GASTIN ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081241",
            "telephone_number": "321-208-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "NOSISTEL",
        "authorized_official_first_name": "RHODE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-208-1172"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Amber Connors, RBT
• Hope Conway, APRN
• Antranette Cooks, APRN
• Jennifer Cooper, RN
• Stanton Tucker Cooper, DC, DACAN
• Lisa Lee Cordova, MSN, APRN, FNP-C
• Sandra Correa
• Stephen Cotton, PH.D.
• Robert Dennis Couch
• Lea Crabb, COTA/L

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.