Healthcare Provider Details

I. General information

NPI: 1487454948
Provider Name (Legal Business Name): TJ'S SENIOR LIVING OF CORAL SPRINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8664 NW 1ST ST
CORAL SPRINGS FL
33071-7508
US

IV. Provider business mailing address

8664 NW 1ST ST
CORAL SPRINGS FL
33071-7508
US

V. Phone/Fax

Practice location:
  • Phone: 561-703-8067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JUNIA CAYARD
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 561-703-8067