Coral Plaza Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORAL PLAZA ALF LLC

Practice address

5850 Margate Blvd
Margate, FL 33063-3621

Phone

(954) 970-0053

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jed Walter

Title

Director

Phone

(954) 593-3599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1508525155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 MARGATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633621",
            "telephone_number": "954-970-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 MARGATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633621",
            "telephone_number": "954-970-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL PLAZA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-593-3599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cora Health Services, Inc.
• Cora Pharmacy, LLC
• Coral Plaza Retirement Residence, LLC
• Coral Springs Eye Center Chartered
• Coral Springs Physicians Associates Inc
• Coral Walk-in Medical Center, LLC
• Corepoint Medical LLC

• Assisted Living Facility in Margate, FL
• Providers in Margate, 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 Dec 10, 2021; 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.