Coquina Cay Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 11725 Issued in FL

Legal business name

COQUINA CAY ASSISTED LIVING

Practice address

5773 Pendlebury CT
Port Orange, FL 32127-7960

Phone

(386) 233-9980

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Patricia Cline

Title

Owner

Phone

(386) 451-5923

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1275917130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SWEET BAY AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5773 PENDLEBURY CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277960",
            "telephone_number": "386-233-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COQUINA CAY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-451-5923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 11725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Conquest
• Dewayne Cook
• Leslie N Cook, PTA
• Melonie Amanda Cooper
• Sarah Cooper, RBT
• Coquina Cove Assisted Living
• Cora Health Services Inc
• Caroline Corasaniti
• Roger L. Corbin, LCSW
• Core Chiropractic & Spinal Rehab Center, LLC

• Assisted Living Facility in Port Orange, FL
• Providers in Port Orange, 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 Jul 10, 2015; 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.