SCG Coral Landing, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SCG CORAL LANDING, LLC

Practice address

2820 Old Moultrie Rd
St Augustine, FL 32086-5454

Phone

(904) 794-2273

Fax

(904) 794-2465

NPI assigned

Sep 13, 2007

Organization subpart

Yes

Parent organization

SEBIOR CARE GROUP, INC.As reported in NPPES

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

Authorized official

Name

Mr. Robert D Vaughan

Title

Director of Operations

Phone

(813) 341-2700

Specialties & licenses 1

Addresses

Tax ID family

Coral Landing Assisted Landing Residences2 organizations share this tax ID, including this one

Part of

Senior Care Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SCG Coral Landing, LLC

  dba Coral Landing Assisted Landing Residences

  • Assisted Living Facility
  • St Augustine, FL
  • NPI 1023145380
  NPD tax ID

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1821283672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865454",
            "telephone_number": "904-794-2273",
            "fax_number": "904-794-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865454",
            "telephone_number": "904-794-2273",
            "fax_number": "904-794-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCG CORAL LANDING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEBIOR CARE GROUP, INC.",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-341-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler David Scarborough, PHARMD
• Jacob Scarbrough
• Kara Scarbrough, LCSW-C
• Josette Scarpa
• SCG Coral Landing, LLC (Coral Landing Assisted Landing Residences)
• SCG Palazzo Operator, LLC (Palazzo Di Oro)
• Hannah Schaper
• Rachel Schatzberg
• Lynnsie Schebell
• Craig S Schein, DPM

• Assisted Living Facility in St Augustine, FL
• Providers in St Augustine, 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 Sep 13, 2007; 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.