MEDICARE: COZY CARE RESIDENCE ALF

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	310400000X	Assisted Living Facility	12490	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962815167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COZY CARE RESIDENCE ALF

Provider Business Mailing Address
First Line	:	1130 NE 136TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3818
Country	:	US
Telephone Number	:	305-308-4315
Fax Number	:	305-819-8840

Provider Business Practice Location Address
First Line	:	1130 NE 136TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3818
Country	:	US
Telephone Number	:	305-308-4315
Fax Number	:	305-819-8840

Authorized Official
Title or Position	:	OWNER
Name	:	ERNICE B ALLEN
Credential	:
Telephone Number	:	305-308-4315

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	06/05/2014

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1558576827 — MONTGOMERY CHIROPRACTIC WELLNESS CENTER, LLC
Practice Location Address:

3818 NORTH 1ST AVE
EVANSVILLE, IN
47710-3326

Practice Phone: 812-424-7823
Practice Fax:

1992003321 — ALEX BERNAL
Practice Location Address:

3818 ROSE CANYON DR
NORTH LAS VEGAS, NV
89032-3165

Practice Phone: 702-682-7507
Practice Fax:

1861770554 — TERRENC M BOOTH
Practice Location Address:

4005 PEPPER THORN AVE
NORTH LAS VEGAS, NV
89081-3818

Practice Phone: 702-203-6524
Practice Fax:

1598000572 — KEITH A. MORSE, D.M.D. ,PA.
Practice Location Address:

14731 N CLEVELAND AVE STE 1
NORTH FORT MYERS, FL
33903-3818

Practice Phone: 239-995-2257
Practice Fax: 239-995-4388

1598313165 — JOHN BENDER
Practice Location Address:

16970 CAROLYN LN
NORTH FORT MYERS, FL
33917-3818

Practice Phone: 239-940-4500
Practice Fax:

Directions to “COZY CARE RESIDENCE ALF ” 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.