MEDICARE: CORALVITA RICHARDSON, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282E00000X	Long Term Care Hospital

General Provider Information

NPI Number	:	1710867775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORALVITA RICHARDSON, LLC

Provider Business Mailing Address
First Line	:	400 LAS COLINAS BLVD E
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-5579
Country	:	US
Telephone Number	:	972-567-4932
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 LAS COLINAS BLVD E
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-5579
Country	:	US
Telephone Number	:	972-567-4932
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. ASHLEY ANASTASIA
Credential	:
Telephone Number	:	813-743-2742

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

Similar Medicare Providers

1588514202 — ALYSSA FOX
Practice Location Address:

400 E ROYAL LN STE 290
IRVING, TX
75039-3602

Practice Phone: 855-832-6727
Practice Fax:

1447113535 — JESSICA LYNN BROWN
Practice Location Address:

400 E ROYAL LN STE 290
IRVING, TX
75039-3602

Practice Phone: 855-832-6727
Practice Fax:

1427909431 — MEDRIDE MEDICAL TRANSPORT LLC
Practice Location Address:

223 ROLLING FORK BND
IRVING, TX
75039-3809

Practice Phone: 972-854-2323
Practice Fax:

1891286738 — LAS COLINAS ENDOCRINOLOGY
Practice Location Address:

210 W JOHN CARPENTER FWY STE 100
IRVING, TX
75039-2003

Practice Phone: 469-291-0770
Practice Fax: 888-443-9001

1174526966 — MEDFUND LLC
Practice Location Address:

6550 N MACARTHUR BLVD , STE 120
IRVING, TX
75039-2823

Practice Phone: 972-444-0100
Practice Fax: 972-444-0282

1649272816 — JEFFREY S FINE MD
Practice Location Address:

6750 N MACARTHUR BLVD STE 300
IRVING, TX
75039

Practice Phone: 972-253-4205
Practice Fax: 972-401-0458

Directions to “CORALVITA RICHARDSON, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.