Coquina Center

LBN: Coquina Center, Llc
Coquina Center is an health care organization with primary practice located at 170 N Center St , Ormond Beach FL 32174-5186. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Coquina Center, Llc can be contacted via phone (386) 672-7113, or through Ziolkowski, Jennifer Alise via phone (813) 558-6629.

Contact Information

Primary practice address
170 N Center St Ormond Beach FL 32174-5186
Fax: (386) 672-7128
Website:
Authorized official contact:
Name: Ziolkowski, Jennifer Alise MBA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF13470961 Florida

Profile Details

NPI number 1760470785
LBN Legal business name Coquina Center, Llc
DBA Doing business as Coquina Center
Authorized official Ziolkowski, Jennifer Alise MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 12th, 2024 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760470785 NPPES
Florida Other C105589 UNITED AMERICAN
Florida Other 0004438178 UNITED AMERICAN
Florida MEDICAID 026064900 UNITED AMERICAN
Florida Other 71-00466 UNITED AMERICAN
Florida Other K4Z UNITED AMERICAN

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