OrganizationActive
Agnes Cottage LLC
NPI 1407437106 · Assisted Living Facility · Port Orange, FL
Agnes Cottage LLC is a Assisted Living Facility organization in Port Orange, FL (NPI 1407437106).
Provider details
- NPI number
- 1407437106
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Abiola Byron, Adminstrator(240) 550-2211
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3739 Sunrise Oaks Dr
Port Orange, FL 32129-8651
Phone: (386) 265-4732
Fax: (407) 902-0121
Street-level locationGet directions
Mailing address
10957 Ledgement Ln
Windermere, FL 34786-6423
Other names (DBA / former)
- Doing business as
- Coquina Cove Alf
- Doing business as
- Coquina Cove Alf
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Frequently asked questions
- What is Agnes Cottage LLC's NPI number?
- Agnes Cottage LLC's National Provider Identifier (NPI) is 1407437106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agnes Cottage LLC?
- Agnes Cottage LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Agnes Cottage LLC located?
- Agnes Cottage LLC's practice location on file with NPPES is 3739 Sunrise Oaks Dr, Port Orange, FL 32129-8651.
- What is Agnes Cottage LLC's phone number?
- The practice phone number listed in the NPPES registry for Agnes Cottage LLC is (386) 265-4732.
- Who is the authorized official for Agnes Cottage LLC?
- The authorized official listed on Agnes Cottage LLC's NPPES record is Abiola Byron, Adminstrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agnes Cottage LLC's NPI active?
- Yes — Agnes Cottage LLC's NPI (1407437106) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.