Organization Active NPI

As Cooper City Lessee, LLC

Doing business as The Sheridan at Cooper City

  • Assisted Living Facility
  • Cooper City, FL
National Provider Identifier
1265970651
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12932 Issued in FL
Legal business name
AS COOPER CITY LESSEE, LLC
Doing business as
The Sheridan at Cooper City
Practice address
2580 Pine Island Rd
Cooper City, FL 33024
Phone
(754) 900-8500
NPI assigned
Feb 6, 2017
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Stephen Levy
Title
Agent for Owner
Phone
(312) 673-4387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12932 FL Primary

Addresses

Primary practice location

2580 Pine Island Rd
Cooper City, FL 33024

Mailing address

2580 Pine Island Rd
Cooper City, FL 33024
Phone (754) 900-8500

Other names 1

  • The Sheridan at Cooper City 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
10D2201418As Cooper City Lessee, LLC2580 Pine Island Rd, Cooper City, FL 33024Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1265970651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 PINE ISLAND RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "754-900-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 PINE ISLAND RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "754-900-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AS COOPER CITY LESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AGENT FOR OWNER",
        "authorized_official_telephone_number": "312-673-4387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sheridan at Cooper City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Sheridan at Cooper City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.