Organization · Type 2 NPI

Cref3 FSLP Coconut Creek Owner LLC

Assisted Living Facility · Coconut Creek, FL

NPI number 1942889787 Active

Practice location

4175 W Sample Rd
Coconut Creek, FL 33073-4456

Call (954) 975-6399 Map

Fax (954) 975-2367

Mailing address

1 Market Plz Fl 42
San Francisco, CA 94105-1126

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

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

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NPI record

NPI: 1942889787
Entity type: Organization (Type 2)
Issued: Apr 7, 2021
Last updated: Mar 11, 2022
Status: Active
Subpart: Yes of Cref3 FSLP Portfolio LLC

Other names

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Sonata Coconut Creek · doing business as
Sonata Coconut Creek · doing business as

Authorized official

Bryce William Robinson
Sr. Regional Director of Operations
(239) 938-6414

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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 1942889787

Cref3 FSLP Coconut Creek Owner LLC's National Provider Identifier is 1942889787, issued on Apr 7, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Coconut Creek, FL. The record was last updated on Mar 11, 2022.