Organization Active NPI

Coral Dreams Alf LLC

  • Assisted Living Facility
  • Cape Coral, FL
National Provider Identifier
1578139697
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CORAL DREAMS ALF LLC
Practice address
1011 NE 13TH Ave
Cape Coral, FL 33909-1525
Phone
(305) 322-3016
NPI assigned
May 29, 2021
Last updated
May 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Authorized official

Name
Jacobo Faroy
Title
Owner
Phone
(305) 322-3016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1011 NE 13TH Ave
Cape Coral, FL 33909-1525

Mailing address

1011 NE 13TH Ave
Cape Coral, FL 33909-1525
Phone (305) 322-3016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622246400000",
    "number": "1578139697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 NE 13TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091525",
            "telephone_number": "305-322-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 NE 13TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091525",
            "telephone_number": "305-322-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL DREAMS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A",
        "authorized_official_last_name": "FAROY",
        "authorized_official_first_name": "JACOBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-322-3016"
    },
    "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 May 29, 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.