Ms - V - Hollywood Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MS - V - HOLLYWOOD SENIOR LIVING, LLC

Doing business as

The Peninsula

Practice address

1300 Spring St Ste 205
Silver Spring, MD 20910-3654

Phone

(240) 595-6028

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Robert Sweet

Title

Sole MBR

Phone

(202) 329-0268

Specialties & licenses 1

Addresses

Other names 1

• The Peninsula Doing business as

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1083065684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SPRING ST STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103654",
            "telephone_number": "240-595-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS - V - HOLLYWOOD SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "202-329-0268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Peninsula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Gene Moy, D.D.S.
• Tyasia Moye
• Ugochinyere Mozie
• Leonie Mpetmi Ngassam
• Madeleine L Mpondo
• Ms-HC, LLC
• Katherine Alice Mueller
• Sifa Josephine Mugisha, HHA
• Arisa Muhammad
• Sheheryar Muhammad

• Assisted Living Facility in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.