Organization Active NPI

Majestic Midtown LLC

  • Assisted Living Facility (Mental Illness)
  • Hollywood, FL
National Provider Identifier
1083016364
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
6508 Issued in FL
Legal business name
MAJESTIC MIDTOWN LLC
Practice address
2001 Polk St
Hollywood, FL 33020-4539
Phone
(954) 927-2001
Fax
(954) 839-6229
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Daniel Cohen
Title
Manager
Phone
(954) 927-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 6508 FL Primary

Addresses

Primary practice location

2001 Polk St
Hollywood, FL 33020-4539

Mailing address

2001 Polk St
Hollywood, FL 33020-4539
Phone (954) 927-2001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1083016364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 POLK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204539",
            "telephone_number": "954-927-2001",
            "fax_number": "954-839-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 POLK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204539",
            "telephone_number": "954-927-2001",
            "fax_number": "954-839-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC MIDTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-927-2001"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2014; 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.