Coral Reef Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1641096 Issued in FL

Legal business name

CORAL REEF OPERATING LLC

Doing business as

Coral Reef Nursing & Rehabilitation Center

Practice address

9869 SW 152ND St
Miami, FL 33157-1703

Phone

(305) 255-3220

Fax

(305) 255-1778

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Gayle Uhlenburg

Title

Member

Phone

(201) 488-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coral Reef Nursing & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1922017425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "SUITE 206",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016201",
            "telephone_number": "201-488-6789",
            "fax_number": "201-488-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571703",
            "telephone_number": "305-255-3220",
            "fax_number": "305-255-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "UHLENBURG",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-488-6789"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1641096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282529-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Reef Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coral Rehab, Inc
• Coral Rehabilitation Services Corp

• Skilled Nursing Facility in Miami, FL
• Providers in Miami, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.