Cpif Coral Landing Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CPIF CORAL LANDING OPCO LLC

Doing business as

Coral Landing

Practice address

2820 Old Moultrie Rd
St Augustine, FL 32086-5454

Phone

(904) 794-2273

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Spragins

Title

Authorized Official

Phone

(206) 728-9063

Specialties & licenses 1

Addresses

Other names 1

• Coral Landing Doing business as

Locations

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1518792076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 FAIRVIEW AVE E STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865454",
            "telephone_number": "904-794-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPIF CORAL LANDING OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SPRAGINS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-728-9063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Courson, RN
• Samantha Courson
• Laura Cowart, M.S.
• David Wesley Cowling, DMD
• Cox Chiropractic PL
• James Harwood Craggs III, LMHC
• Katherine Cramer, PT, DPT
• Joseph H Crane, PHARMD
• Michelle Murray Craun, LMFT, QS
• Pamela P Crawford, SLP

• Assisted Living Facility in St Augustine, FL
• Providers in St Augustine, 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 Sep 4, 2024; 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.