Coconut Point Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12300 Issued in FL

Legal business name

COCONUT POINT LIVING LLC

Doing business as

Plantation Oaks Senior Living

Practice address

9309 S Orange Blossom TRL
Orlando, FL 32837-8300

Phone

(407) 859-7990

Fax

(407) 859-8967

NPI assigned

Mar 29, 2013

Last updated

Mar 29, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

COCONUT POINT LIVING LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Corrine Renee Eubanks, ALF ADMINISTRATOR

Title

Executive Director

Phone

(407) 859-7990

Specialties & licenses 1

Addresses

Other names 1

• Plantation Oaks Senior Living Doing business as

Part of

Coconut Point Living LLC

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1497098214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378300",
            "telephone_number": "407-859-7990",
            "fax_number": "407-859-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378300",
            "telephone_number": "407-859-7990",
            "fax_number": "407-859-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT POINT LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COCONUT POINT LIVING LLC",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "CORRINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-859-7990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ALF ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plantation Oaks Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia Cociou
• James Vance Cockerham III, APRN
• Melissa Ingrid Cockley
• Blayne Derek Cockrell, RBT
• Nicole Coco
• Anthony Coddington
• Yissel Codorniu Rodriguez, FNP-C
• Catherine Elizabeth Cody, OTR/L
• Lekeshia Renae Cody, BT
• Lisa M Cody, OT CHT

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, 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 Mar 29, 2013; 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.