Active NPI
Pompano Beach SLC Tenant LLC
- Assisted Living Facility
- Pompano Beach, FL
National Provider Identifier
1033900097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126772800 | Medicaid | FL |
Other names 1
- Five Star Premier Residences of Pompano Beach
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2132116 | Pompano Beach SLC Tenant LLC Dba Five Star | Certificate of waiver | Jun 12, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.