CORAL HOUSE ASSISTED LIVING COMMUNITY, LLC (NPI# 1700253531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700253531 |
| Entity Type | Organization |
| Organization Name | CORAL HOUSE ASSISTED LIVING COMMUNITY, LLC |
| Practice Address |
3501 Hancock Bridge Pkwy Fort Myers FL 33903-7095 |
| Mailing Address |
26691 Richmond Rd Bedford Heights OH 44146-1421 |
| Practice Telephone | 2394541990 |
| Practice Fax Number | 2399355908 |
| Mailing Telephone | 2162925706 |
| Mailing Fax Number | 2162922273 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | WILLIAM I WEISBERG (VICE PRESIDENT) |
| Authorized Official Telephone | 2162925706 |
| Is Organization Subpart | Y |
| Parent Organization Name | SABER HEALTHCARE HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
3501 HANCOCK BRIDGE PKWY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33903-7095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902443716 | Elisabeth Anne Kraus | Occupational Therapist | 3501 Hancock Bridge Pkwy, Fort Myers, FL 33903-7126 | 2019-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376590 | Tls Consulting, LLC | Community/Behavioral Health | 13971 N. Cleveland Avenue #9, North Fort Myers, FL 33903 | 2019-09-26 |
| 1710537857 | Mariel Hernandez | Nurse Practitioner | 16251 N Cleveland Ave Ste 12, North Fort Myers, FL 33903 | 2019-09-19 |
| 1003308644 | Brandon Paige | Behavior Technician | 4085 Hancock Bridge Pkwy Unit 101, North Fort Myers, FL 33903 | 2018-05-30 |
| 1386176253 | Annette Porter | Clinic/Center | 995 Pondella Rd., North Fort Myers, FL 33903 | 2017-03-30 |
| 1972873883 | Apinya Suppatkul | Pharmacist | 17050 N Tamiami Trl, Fort Myers, FL 33903 | 2012-01-09 |
| 1932340536 | Jessica Winter Poe | Dentist | 19001north Tamiami Trail, Suite #3171, North Fort Myers, FL 33903 | 2009-03-12 |
| 1710127055 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 13240 N. Cleveland Ave., Suite 12, North Ft. Myers, FL 33903 | 2009-02-26 |
| 1013031038 | Mark B. Gorby | Dentist | 14731 N. Cleveland Ave., Suite 1 Community Dental Care, N. Fort Myers, FL 33903 | 2007-03-16 |
| 1285704882 | Jon L. Rauch | Dentist | 19001 N. Tamiami Trail, N. Ft Myers, FL 33903 | 2006-11-09 |
| 1639254188 | Paradise Medical Center | Pediatrics | 1890 North Tamiami Trail, #d2, North Fort Myers, FL 33903 | 2006-10-25 |
| Find all providers in zip 33903 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346703774 | Jahphet Y Grant | Assisted Living Facility | 2252 Wright St # A, Fort Myers, FL 33916-4345 | 2019-04-11 |
| 1255874806 | Southen Oaks Senior Living Care LLC | Assisted Living Facility | 2117 Earl Rd, Fort Myers, FL 33901-8015 | 2016-11-30 |
| 1609237163 | Avalon Manor Assisted Living Facility LLC | Assisted Living Facility | 2580 First St, Fort Myers, FL 33901-2410 | 2016-03-11 |
| 1063833788 | Sri At Health Park, LLC | Assisted Living Facility | 9461 Healthpark Cir, Fort Myers, FL 33908-3614 | 2013-12-23 |
| 1386073088 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 3600 Kings Crown Ct, Fort Myers, FL 33908-1648 | 2013-11-04 |
| 1093140451 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 13901 Shell Point Plz, Fort Myers, FL 33908-2898 | 2013-09-04 |
| 1548507866 | Festa Enterprises Inc. | Assisted Living Facility | 6722 Winkler Rd, Fort Myers, FL 33919-7204 | 2013-01-07 |
| 1679875041 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 14521 Lakewood Blvd, Fort Myers, FL 33919-2829 | 2010-11-17 |
| 1073743167 | Ho Operating Company, LLC | Assisted Living Facility | 3625 Hidden Tree Ln, Fort Myers, FL 33901-8388 | 2009-07-23 |
| 1215184023 | Arden Courts of Ft Myers Fl LLC | Assisted Living Facility | 15950 Mcgregor Blvd, Fort Myers, FL 33908-2551 | 2008-08-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33903 |
Please comment or provide details below to improve the information on CORAL HOUSE ASSISTED LIVING COMMUNITY, LLC.
| 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.