Coastal Senior Living Facility Llc

LBN: Coastal Senior Living Facility Llc
Coastal Senior Living Facility Llc is an health care organization with primary practice located at 6024 Golf And Sea Blvd , Apollo Beach FL 33572-2628. The organization recently has 8 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Coastal Senior Living Facility Llc can be contacted via phone (813) 213-1291, or through Jordan, Chevelle via phone (727) 417-1723.

Contact Information

Primary practice address
6024 Golf And Sea Blvd Apollo Beach FL 33572-2628
Phone: (813) 213-1291
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Chevelle Registered Nurse (RN)
Phone: (727) 417-1723

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1912762147
LBN Legal business name Coastal Senior Living Facility Llc
DBA Doing business as
Authorized official Jordan, Chevelle Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2024
Last updated Feb 16th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers