Healthcare Provider Details

I. General information

NPI: 1316851710
Provider Name (Legal Business Name): JUBILEE HOME ASSISTED LIVING OF CORAL SPRINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 NW 84TH LN
CORAL SPRINGS FL
33071-7128
US

IV. Provider business mailing address

846 NW 84TH LN
CORAL SPRINGS FL
33071-7128
US

V. Phone/Fax

Practice location:
  • Phone: 754-240-7711
  • Fax:
Mailing address:
  • Phone: 754-240-7711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: FEDIE OVIL
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 954-687-3923