MF Halifax, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MF HALIFAX, LLC

Practice address

820 N Clyde Morris Blvd
Daytona Beach, FL 32117-4594

Phone

(386) 274-4575

NPI assigned

Oct 29, 2009

Organization subpart

Yes

Parent organization

FLORIDA FACILITIES, LLCAs reported in NPPES

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

Authorized official

Name

Eric Roth

Title

President

Phone

(914) 390-4377

Specialties & licenses 1

Addresses

Other names 1

• Coastal Health and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1659607463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174594",
            "telephone_number": "386-274-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174594",
            "telephone_number": "386-274-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MF HALIFAX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES, LLC",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-390-4377"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metro Treatment of Florida, LP
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• Nicole Anctil Meyer, P.T.
• Cary H Meyers, MD
• John C Meyers, M.D.
• MGL Enterprizes LLC
• Michael D. Kohen, MD, PA
• Michael N Fulton
• Michael P. Harrington, M.D., P.a.
• Mirola Michael, RDN, LDN

• Skilled Nursing Facility in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.