NPIMap

Organization Active NPI

Coolidge Palms Assisted Living Resort, Inc

Doing business as Coolidge Palms Assisted Living Resort

  • Assisted Living Facility
  • Hollywood, FL
National Provider Identifier
1023446606
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12022 Issued in FL
Legal business name
COOLIDGE PALMS ASSISTED LIVING RESORT, INC
Doing business as
Coolidge Palms Assisted Living Resort
Practice address
2057 Coolidge St
Hollywood, FL 33020-2427
Phone
(954) 266-4015
NPI assigned
Oct 17, 2013
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bethany Larkins
Title
Administrator
Phone
(954) 266-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12022 FL Primary

Addresses

Primary practice location

2057 Coolidge St
Hollywood, FL 33020-2427

Mailing address

2057 Coolidge St
Hollywood, FL 33020-2427
Phone (954) 266-4015

Other names 1

  • Coolidge Palms Assisted Living Resort Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coolidge Palms Assisted Living Resort2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1023446606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 COOLIDGE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202427",
            "telephone_number": "954-266-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 COOLIDGE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202427",
            "telephone_number": "954-266-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLIDGE PALMS ASSISTED LIVING RESORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "LARKINS",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-266-4015"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coolidge Palms Assisted Living Resort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.