Coventry Assisted Living

LBN: Florry Creative Care Corporation
Coventry Assisted Living is an health care organization with primary practice located at 415 N. Wilder Rd , Plant City FL 33566. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Florry Creative Care Corporation can be contacted via phone (813) 441-4761, or through Hallback, Cherry via phone (813) 704-6918.

Contact Information

Primary practice address
415 N. Wilder Rd Plant City FL 33566
Phone: (813) 441-4761
Fax: (813) 704-4745
Website:
Map and Directions
Authorized official contact:
Name: Hallback, Cherry
Phone: (813) 704-6918

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12181 Florida

Profile Details

NPI number 1427393289
LBN Legal business name Florry Creative Care Corporation
DBA Doing business as Coventry Assisted Living
Authorized official Hallback, Cherry
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 5th, 2012
Last updated Jan 9th, 2020 - about 4 years 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 1427393289 NPPES
Florida MEDICAID 104395400

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