Active NPI
Coral Bay Health Care Associates LLC
- Skilled Nursing Facility
- West Palm Beach, FL
National Provider Identifier
1952356313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF10840961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025991800 | Medicaid | FL |
Other names 1
- Coral Bay Healthcare and Rehabilitation
National Provider Directory
National Provider DirectoryNPI 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.