Healthcare Provider Details

I. General information

NPI: 1255591798
Provider Name (Legal Business Name): THE COVE HEALTH AND REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 E HIGHWAY BUSINESS 98
PANAMA CITY FL
32401
US

IV. Provider business mailing address

2 BRIDGE STREET SUITE 210
IRVINGTON NY
10533-1594
US

V. Phone/Fax

Practice location:
  • Phone: 850-872-1438
  • Fax:
Mailing address:
  • Phone: 914-390-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES RICHARDSON
Title or Position: PRESIDENT
Credential:
Phone: 850-430-0000