Sabrina Amazan

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12638 Issued in FL

Practice address

5 Fairgreen Ave
New Smyrna Beach, FL 32168-6112

Phone

(407) 970-5558

Fax

(407) 970-5558

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Love & Care Assisted Living LLC

  dba Coquina Cay ALF

  • Assisted Living Facility
  • New Smyrna Beach, FL
  • NPI 1669130589
  NPD Authorized official

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1871008607",
    "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": "5 FAIRGREEN AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686112",
            "telephone_number": "407-970-5558",
            "fax_number": "407-970-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAZAN",
        "first_name": "SABRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Albright, OTR/L
• Margaret M Aldridge
• Catherine Allbritton, DPT
• Jacob Allen, DPT
• Elizabeth Livingston Alwood
• Anc Inc
• Anchor Injury and Integrative Health, LLC
• Eric B Anderson, LMT
• Jamie Lynn Anderson, PTA
• Nathan Andrew, DO

• 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 1, 2017; 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.