Cabot Cove Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10249 Issued in FL

Legal business name

CABOT COVE ASSISTED LIVING LLC

Practice address

455 Belcher Rd S
Largo, FL 33771-5522

Phone

(727) 539-1200

Fax

(727) 286-2985

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joseph J Vince

Title

Cfo

Phone

(330) 501-9863

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1619394368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715522",
            "telephone_number": "727-539-1200",
            "fax_number": "727-286-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715522",
            "telephone_number": "727-539-1200",
            "fax_number": "727-286-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABOT COVE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "VINCE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-501-9863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11215500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Justice Cagnolatti
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• Linda Ann Cain, M.S. OTR/L

• Assisted Living Facility in Largo, FL
• Providers in Largo, 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 17, 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.