Coquina Center, Llc in Ormond Beach - Skilled Nursing Facility

Coquina Center, Llc - NPI 1760470785

Coquina Center, Llc is a Skilled Nursing Facility in Ormond Beach, Florida. Coquina Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Coquina Center, Llc is 1760470785. The last update date is 2013-02-13.

Coquina Center, Llc's current location address is 170 N Center St, Ormond Beach, Florida. You can contact this provider via phone number 3866727113 and fax number 3866727128. The mailing address for Coquina Center, Llc is 170 N Center St, Ormond Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coquina Center, Llc
Address 170 N Center St, Ormond Beach, Florida
Phone Number 3866727113
Fax Number 3866727128
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP FINANCE
Authorized Official Name Ziolkowski Alise Jennifer
Credentials MBA
Telephone Number 8135586629

NPI Number Detail

NPI Number 1760470785
Provider Enumeration Date 2005-10-13
Last Updated Date 2013-02-13

Provider Mailing Address Detail

Address 170 N Center St
City Ormond Beach
State Florida (FL)
Post Code 321745186
Phone Number 3866727113
Fax Number 3866727128

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No SNF13470961
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C105589 FL UNITED AMERICAN
4438178 FL AETNA
26064900 FL --
71-00466 FL UNITED HEALTH CARE
K4Z FL BLUE CROSS BLUE SHIELD

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FAQs about Coquina Center, Llc

What is the Coquina Center, Llc's unique identification number?

The Coquina Center, Llc has been assigned the NPI (National Provider Identifier) Number 1760470785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Coquina Center, Llc's facilities are situated?

The facilities of Coquina Center, Llc are physically located at the following address: 170 N Center St, Ormond Beach, FL, 321745186.

What is Coquina Center, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Coquina Center, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.

When did the Coquina Center, Llc receive its 1760470785?

The Coquina Center, Llc was issued its 1760470785 on 2005-10-13, which is the date when the organization was assigned this unique identifier.

When was the Coquina Center, Llc's information last updated?

The Coquina Center, Llc's information was last updated on 2013-02-13.

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