Coby Cares Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

COBY CARES CORPORATION

Practice address

1754 Barnstable Rd
Wellington, FL 33414-6143

Phone

(904) 236-0014

NPI assigned

Aug 17, 2019

Organization subpart

No

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

Authorized official

Name

Ju'Coby Todd

Title

Owner

Phone

(904) 236-0014

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1659927325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19644",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334169644",
            "telephone_number": "904-236-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 BARNSTABLE RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146143",
            "telephone_number": "904-236-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBY CARES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JU'COBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-236-0014"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sso.flmmis.com",
            "affiliation": "N",
            "address_1": "1754 Barnstable Rd",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334146143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ghislene Clermont, APRN-BC
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• Patricia Coates, OTR
• Rosanna Cocilovo
• Megan Leigh Codrington, AA-C
• Cogent Healthcare of Pensacola LLC
• Bradley M Cohen, M.D.
• Gary R Cohen, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wellington, FL
• Providers in Wellington, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.