CORAL REEF ADULT DAY CARE CENTER (NPI# 1437692738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437692738 |
| Entity Type | Organization |
| Organization Name | CORAL REEF ADULT DAY CARE CENTER |
| Practice Address |
4180 Central Ave Saint Petersburg FL 33711-1113 |
| Mailing Address |
6800 Gulfport Blvd S Ste. 201-346 S Pasadena FL 33707-2163 |
| Practice Telephone | 7279991011 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | MR. MICHAEL WETMORE (ADMISSIONS/OWNER) |
| Authorized Official Telephone | 7279991011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
9360 | FL | Ambulatory Health Care Facilities |
| Street Address |
4180 CENTRAL AVE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33711-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892807 | Horizons Adult Day Care Inc. | Clinic/Center | 4911 Park St N Ste B, Saint Petersburg, FL 33709-2227 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548019 | Renacer Adult Day Care LLC | Clinic/Center | 1968 Nw 7th St, Miami, FL 33125-3411 | 2020-11-08 |
| 1972104164 | El Prado Senior Club Corp | Clinic/Center | 1800 W 68th St Ste 101-105, Hialeah, FL 33014-4404 | 2020-11-04 |
| 1679174924 | Divine Leisure & Activity Center,llc | Clinic/Center | 6500 W 4th Ave Ste 26, Hialeah, FL 33012-6606 | 2020-11-03 |
| 1659972917 | Hope Family Adult Day Care Center LLC | Clinic/Center | 204 E Mckenzie St Unit A, Punta Gorda, FL 33950-6069 | 2020-11-03 |
| 1487254157 | Universal Adult Day Care Inc | Clinic/Center | 10174 W Flagler St, Miami, FL 33174-1830 | 2020-10-30 |
| 1801496583 | Penate Adult Daycare 3 LLC | Clinic/Center | 18950 Sw 106th Ave Ste 115, Cutler Bay, FL 33157-7699 | 2020-10-30 |
| 1568061885 | All Smiles Senior & Adult Day Care Center | Clinic/Center | 1072 E Venice Ave, Venice, FL 34285-7162 | 2020-10-19 |
| 1679171326 | Constance Pierre Louis Gauthier | Clinic/Center | 812 Dogwood Rd, West Palm Beach, FL 33409-6141 | 2020-10-14 |
| 1871190157 | Shenna Michelle Clyburn | Clinic/Center | 3112 Delaware Ave, Fort Pierce, FL 34947-3531 | 2020-10-08 |
| 1669079323 | Hemo Medika Care LLC | Clinic/Center | 3425 10th St N Ste 1, Naples, FL 34103-3866 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on CORAL REEF ADULT DAY CARE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.