Active NPI
Coral Haven Assisted Living LLC
- Assisted Living Facility
- Cape Coral, FL
National Provider Identifier
1548134331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CORAL HAVEN ASSISTED LIVING LLC
- Practice address
- 103 Cultural Park Blvd S
Cape Coral, FL 33990-1207 - Phone
- (239) 776-9989
- NPI assigned
- Oct 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bianka Rodriguez
- Title
- Owner
- Phone
- (239) 776-9989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
103 Cultural Park Blvd S
Cape Coral, FL 33990-1207
Mailing address
103 Cultural Park Blvd S
Cape Coral, FL 33990-1207
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- Lehigh Acres, FL
- NPI 1881348118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759449600000",
"number": "1548134331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CULTURAL PARK BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339901207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CULTURAL PARK BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339901207",
"telephone_number": "239-776-9989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL HAVEN ASSISTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-03",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "BIANKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-776-9989"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.