Active NPI
Emerald Coast Home Living LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Navarre, FL
National Provider Identifier
1881503266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- EMERALD COAST HOME LIVING LLC
- Practice address
- 2401 Amberjack CT
Navarre, FL 32566-2563 - Phone
- (850) 543-9884
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lerius Ambroise
- Title
- Manager
- Phone
- (850) 543-9884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
2401 Amberjack CT
Navarre, FL 32566-2563
Mailing address
2401 Amberjack CT
Navarre, FL 32566-2563
Phone (850) 543-9884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1881503266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 AMBERJACK CT",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325662563",
"telephone_number": "850-543-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 AMBERJACK CT",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325662563",
"telephone_number": "850-543-9884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD COAST HOME LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "AMBROISE",
"authorized_official_first_name": "LERIUS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "850-543-9884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.