Coquina Cove Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9574 Issued in FL

Legal business name

COQUINA COVE ASSISTED LIVING

Practice address

3739 Sunrise Oaks Dr
Port Orange, FL 32129-8651

Phone

(386) 265-4732

NPI assigned

Oct 7, 2013

Last updated

Oct 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Cline, RN

Title

Administrator

Phone

(386) 451-5923

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1801223854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 SUNRISE OAKS DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 SUNRISE OAKS DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298651",
            "telephone_number": "386-265-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COQUINA COVE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-451-5923",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewayne Cook
• Leslie N Cook, PTA
• Melonie Amanda Cooper
• Sarah Cooper, RBT
• Coquina Cay Assisted Living
• Cora Health Services Inc (CORA Physical Therapy - Port Orange)
• Caroline Corasaniti
• Roger L. Corbin, LCSW
• Core Chiropractic & Spinal Rehab Center, LLC
• Core Counseling Service Inc

• Assisted Living Facility in Port Orange, FL
• Providers in Port Orange, 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 Oct 7, 2013; 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.