Organization Active NPI

Coral Haven Assisted Living LLC

  • Assisted Living Facility
  • Cape Coral, FL
National Provider Identifier
1548134331
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Bianka RodriguezNPI 1881348118
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.