AGNES COTTAGE LLC NPI 1407437106

NPI Information

  • NPI: 1407437106
  • Provider Name: AGNES COTTAGE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: COQUINA COVE ALF
  • Address: 3739 SUNRISE OAKS DR
    PORT ORANGE, FL
    ZIP 32129
  • Phone: (386) 265-4732

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NPI Details

AGNES COTTAGE LLC is an assisted living facility in Port Orange, FL. The provider is 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. AGNES COTTAGE LLC NPI is 1407437106. The provider is registered as an organization entity type.
The provider Is Doing Business As Coquina Cove Alf.

The provider's business location address is:

3739 SUNRISE OAKS DR
PORT ORANGE, FL
ZIP 32129-651
Phone: (386) 265-4732
Fax: (407) 902-0121

The provider's authorized official is Abiola Byron .
The authorized official title is Adminstrator and has the following contact phone number (240) 550-2211.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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