Organization Active NPI

Coral Bay Health Care Associates LLC

  • Skilled Nursing Facility
  • West Palm Beach, FL
National Provider Identifier
1952356313
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF10840961 Issued in FL
Legal business name
CORAL BAY HEALTH CARE ASSOCIATES LLC
Practice address
2939 S Haverhill Rd
West Palm Beach, FL 33415-8118
Phone
(561) 641-3130
Fax
(561) 641-3167
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Steven R. Mellion
Title
Manager
Phone
(561) 641-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF10840961 FL Primary

Addresses

Primary practice location

2939 S Haverhill Rd
West Palm Beach, FL 33415-8118

Mailing address

2939 S Haverhill Rd
West Palm Beach, FL 33415-8118
Phone (561) 641-3130

Other identifiers 1

IdentifierTypeStateIssuer
025991800MedicaidFL

Other names 1

  • Coral Bay Healthcare and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1952356313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158118",
            "telephone_number": "561-641-3130",
            "fax_number": "561-641-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158118",
            "telephone_number": "561-641-3130",
            "fax_number": "561-641-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL BAY HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "MELLION",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-641-3130"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10840961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025991800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Bay Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.