Prime Love & Care Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRIME LOVE & CARE ASSISTED LIVING LLC

Doing business as

Coquina Cay ALF

Practice address

117 Sweet Bay Ave
New Smyrna Beach, FL 32168-7935

Phone

(386) 402-4084

Fax

(386) 402-4082

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Sabrina AmazanNPI 1871008607

Title

Administrator

Phone

(407) 970-5558

Specialties & licenses 1

Addresses

Other names 1

• Coquina Cay ALF Doing business as

Practitioners 1

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

• Sabrina Amazan

  • Assisted Living Facility
  • New Smyrna Beach, FL
  • NPI 1871008607
  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1669130589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BLUFF LN",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123430",
            "telephone_number": "407-970-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SWEET BAY AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687935",
            "telephone_number": "386-402-4084",
            "fax_number": "386-402-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LOVE & CARE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "AMAZAN",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-970-5558"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coquina Cay ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane C Porter, LMHC
• Richard M Pratt III, ARNP
• PRC Associates, LLC
• Preferred Injury Physicians of New Smyrna Beach, Inc
• Kimberly Prieto, RBT
• Primecare at Twin Lakes LLC
• Ashley Probasco, APRN
• John A Prodoehl, M.D.
• Amanda Joy Prokop, DC
• Daniel Joseph Prugar, DC

• Assisted Living Facility in New Smyrna Beach, FL
• Providers in New Smyrna Beach, 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 8, 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.