Senior Care Golfcrest LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11760963 Issued in FL

Legal business name

SENIOR CARE GOLFCREST LLC

Doing business as

Golfcrest Healthcare Center

Practice address

600 N 17TH Ave
Hollywood, FL 33020-4606

Phone

(954) 927-2531

Fax

(954) 927-0425

NPI assigned

Oct 11, 2005

Organization subpart

Yes

Parent organization

ADVOCAT INC.As reported in NPPES

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

Authorized official

Name

Raymond L Tyler Jr.

Title

Executive Vice President and Coo

Phone

(615) 771-7575

Specialties & licenses 1

Addresses

Other names 1

• Golfcrest Healthcare Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Diversicare Leasing LP

  dba Diversicare of Martin

  • Skilled Nursing Facility
  • Martin, TN
  • NPI 1538157664

  Member Of

  NPD member

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1053309344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 17TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204606",
            "telephone_number": "954-927-2531",
            "fax_number": "954-927-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 17TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204606",
            "telephone_number": "954-927-2531",
            "fax_number": "954-927-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE GOLFCREST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCAT INC.",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "615-771-7575",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11760963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golfcrest Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theophila Czamanski Semanoff, M.D.
• Seminole Tribe of Florida
• Seminole Tribe of Florida Health Department (Seminole Pharmacy)
• Seminole Tribe of Florida Health Dept.
• Buse Sengul, M.D.
• Senior Living Properties-Peninsula, LLC (The Peninsula)
• Senior Medical Associates LLC
• Senior Medical Care I LLC
• Senior Services Group Inc.
• Senior Support Services, Inc.

• Skilled Nursing Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.