Organization · Type 2 NPI

Five Star Coral Oaks LLC

Assisted Living Facility · Palm Harbor, FL

NPI number 1205875101 Active

Practice location

900 W Lake Rd
Palm Harbor, FL 34684-3142

Call (727) 787-3333 Map

Fax (727) 784-4886

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL7368 (FL)

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.

2 other providers at this address

Other assisted living facility providers in Palm Harbor

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NPI record

NPI: 1205875101
Entity type: Organization (Type 2)
Issued: Jun 6, 2006
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Five Star Coral Oaks LLC

Other names

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Coral Oaks · doing business as

Authorized official

Bruce J Mackey
President & Chief Executive Officer
(617) 796-8214

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205875101

Five Star Coral Oaks LLC's National Provider Identifier is 1205875101, issued on Jun 6, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Palm Harbor, FL. The record was last updated on Jun 27, 2016.