COASTAL SENIOR LIVING FACILITY LLC
NPI 1912762147
Assisted Living Facility in Apollo Beach, FL

NPI Status: Active since February 16, 2024

Contact Information

6024 GOLF AND SEA BLVD
APOLLO BEACH, FL
ZIP 33572
Phone: (813) 213-1291

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  • Organization
  • Assisted Living Facility

About COASTAL SENIOR LIVING FACILITY LLC

This page provides the complete NPI Profile along with additional information for Coastal Senior Living Facility Llc, a provider established in Apollo Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1912762147 assigned on February 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mrs. Chevelle Jordan Rn (Owner)

NPI
1912762147
Provider Name
COASTAL SENIOR LIVING FACILITY LLC
Entity Type
Organization
Location Address
6024 GOLF AND SEA BLVD APOLLO BEACH, FL 33572
Location Phone
(813) 213-1291
Mailing Address
235 APOLLO BEACH BLVD # 182 APOLLO BEACH, FL 33572
Mailing Phone
(727) 417-1723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2024
Last Update Date
02-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

 
23104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
33104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
4311Z00000XNursing & Custodial Care Facilities

Custodial Care Facility

 
5311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

 
6343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
7385H00000XRespite Care Facility

Respite Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CHEVELLE JORDAN RN

Authorized Official Title
OWNER
Authorized Official Phone
(727) 417-1723

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912762147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922146418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 4 + 6 + 4 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1912762147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912762147, enumerated in the NPI registry as an "organization" on February 16, 2024

The provider is located at 6024 Golf And Sea Blvd Apollo Beach, Fl 33572 and the phone number is (813) 213-1291

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on February 16, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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