NPIMap

Organization Active NPI

Coralvita Richardson, LLC

  • Long Term Care Hospital
  • Irving, TX
National Provider Identifier
1710867775
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CORALVITA RICHARDSON, LLC
Practice address
400 Las Colinas Blvd E
Irving, TX 75039-5579
Phone
(972) 567-4932
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Ms. Ashley Anastasia
Title
Vice President
Phone
(813) 743-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

400 Las Colinas Blvd E
Irving, TX 75039-5579

Mailing address

400 Las Colinas Blvd E
Irving, TX 75039-5579
Phone (972) 567-4932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251024000453 TX Part A Provider - Hospital 9537657168 Practice locations: Richardson, TX

Hospital certification: CCN 670348

Legal name
CORALVITA RICHARDSON LLC
Doing business as
CORALVITA RICHARDSON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 1, 2025
Last certification
Nov 1, 2025
Beds
60
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
401 W Campbell Rd
Ste 300
Richardson, TX 75080-3416
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Coralvita RichardsonCCN 452097
Ownership
For profit
Certified
Aug 1, 2007
Medicare certification status
Terminated Other: provider status change, Oct 31, 2025From the Provider of Services file
Beds
60

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2109330Coralvita Richardson401 West Campbell Road Suite 300, Richardson, TX 75080AccreditationMay 30, 2027

National Provider Directory

National Provider Directory

Locations

400 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 567-4932

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Coralvita Holdco LLC Organization, Irving, TX Created for acquisition, Management services company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2025 100%
Hooman Sedighi Individual Corporate Officer Nov 1, 2025 25%
Malia Foley Individual Corporate OfficerSecretary Nov 1, 2025 25%
Ashley Anastasia Individual W-2 Managing EmployeeVice President Nov 1, 2025 25%
Anis Sabeti Individual Corporate OfficerChief Executive Officer Nov 1, 2025 25%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 20

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1710867775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAS COLINAS BLVD E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395579",
            "telephone_number": "972-567-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAS COLINAS BLVD E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395579",
            "telephone_number": "972-567-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALVITA RICHARDSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "ANASTASIA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-743-2742",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.