Organization Active NPI

Pompano Beach SLC Tenant LLC

  • Assisted Living Facility
  • Pompano Beach, FL
National Provider Identifier
1033900097
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
POMPANO BEACH SLC TENANT LLC
Practice address
1371 S Ocean Blvd
Pompano Beach, FL 33062-7130
Phone
(617) 796-8300
NPI assigned
May 16, 2025
Organization subpart
Yes
Parent organization
DHC FM TRS HOLDCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Christopher J Bilotto
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1371 S Ocean Blvd
Pompano Beach, FL 33062-7130

Mailing address

255 Washington St Ste 230
Newton, MA 02458-1644
Phone (617) 796-8300

Other identifiers 1

IdentifierTypeStateIssuer
126772800MedicaidFL

Other names 1

  • Five Star Premier Residences of Pompano Beach Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2132116Pompano Beach SLC Tenant LLC Dba Five Star1371 South Ocean Blvd, Pompano Beach, FL 33062Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1033900097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 230",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581644",
            "telephone_number": "617-796-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 S OCEAN BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627130",
            "telephone_number": "617-796-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO BEACH SLC TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHC FM TRS HOLDCO LLC",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "BILOTTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126772800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Premier Residences of Pompano Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.