North Broward Hospital District
Organization Active NPI Rehabilitation Hospital Unit · Pompano Beach, FL
NPI 1295763241 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1295763241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 4020 (FL)
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 201 E Sample Rd
Pompano Beach, FL 33064-3502 - Phone
- (954) 941-8300
- Fax
- (954) 847-4245
- NPI assigned
- Jun 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH BROWARD HOSPITAL DISTRICT
Authorized official
- Name
- Alisa Bert
- Title
- Interim Cfo
- Phone
- (954) 473-7483
Owners & managing parties with NPI records 24
Owned or controlled facilities with NPI records 10
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 24
Related certifications (CCN) 2
Facilities with the same owner 8
Practitioners 193
-
Alia Abdulla, DO
-
Geddis Abel-Bey Jr., M.D.
-
Celso Agner, M.D., MSC
-
Sajive Aleyas, M.D.
-
Melissa Armas, D.O.
-
Arlene N Barrett, APRN
-
Natan Bastoky, DO
-
Ruth Beaufosse, APRN
-
Ahmed Soliman Behairy, M.D.
-
Jill Marie Bilek, MD
-
Simon Blanc, M.D.
-
Arnoux Blanchard, M.D
-
Jeffrey D Blum, MD
-
Celena Bodie, APRN
-
Michael Bolanos, M.D.
Affiliated clinicians 8
-
Brian Auster, M.D.
-
John Edward Bell, DO
-
Ariel Inocentes, M.D.
-
Cassandra List, M.D.
-
David H. Ring Jr., M.D.
-
Jared Blake Weiss, M.D.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Broward Health North-Inpatient Rehabilitation Unit
- Ownership
- Government
- Certified
- Jul 1, 2024
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Hospital certification: CCN 10T086
- Legal name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BROWARD HEALTH NORTH- REHAB UNIT
- Organization structure
- Government · Non-profit
- Enrollment address
- 201 E Sample Rd
Deerfield Beach, FL 33064-3502 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Stuart M Glassberg |
W-2 Managing Employee | Jun 25, 2010 | |
| Nancy Gregoire |
Corporate Officer |
Dec 1, 2017 | |
| Stacy Angier |
Corporate Officer |
Oct 19, 2018 | |
| North Broward Hospital District |
Operational/Managerial Control | May 13, 2008 | |
| Matthew K Garner |
Corporate Officer |
Aug 29, 2022 | |
| Corporate Director |
Aug 29, 2022 | ||
| Operational/Managerial Control |
Aug 29, 2022 | ||
| Paul C. Tanner |
Corporate Officer |
May 20, 2022 | |
| Corporate Director |
May 20, 2022 | ||
| Operational/Managerial Control |
May 20, 2022 | ||
| Ray Berry |
Corporate Officer |
May 11, 2018 | |
| Levi Williams |
Corporate Officer |
Apr 2, 2021 | |
| Shane Strum |
Corporate Officer |
Mar 29, 2021 | |
| Corporate Director |
Mar 29, 2021 | ||
| Operational/Managerial Control |
Mar 29, 2021 | ||
| Christopher Pernicano |
Corporate Officer |
Apr 2, 2021 | |
| Corporate Director |
Apr 2, 2021 | ||
| Operational/Managerial Control |
Apr 2, 2021 | ||
| Jonathan Hage |
Corporate Officer |
Apr 2, 2021 | |
| Corporate Director |
Apr 2, 2021 | ||
| Operational/Managerial Control |
Apr 2, 2021 | ||
| Alisa Bert |
Corporate Officer |
Mar 3, 2023 | |
| Corporate Director |
Mar 3, 2023 | ||
| Operational/Managerial Control |
Mar 3, 2023 |
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Broward Health North |
Hospital | Operational/Managerial Control | May 14, 2008 |
| Broward Health Imperial Point |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 1984 Jan 1, 1984 |
| Broward Health Medical Center-Psych Unit |
Hospital | Operational/Managerial Control | Jul 1, 2007 |
| Broward Health Coral Springs |
Hospital | Operational/Managerial Control (100%) | Mar 17, 1987 |
| Broward Health Imperial Point-Psych Unit |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1984 |
| Pompano Adult Primary Care |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Oct 1, 1993 |
| Specialty Care Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Jul 1, 1993 |
| Margate Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Oct 1, 1993 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001860 | FL | Part B Supplier - Clinic/Group Practice | 3577472422 |
Receives reassigned benefits from 251 practitioners This NPI is an additional NPI on the enrollment |
| O20080530000511 | FL | Part a Provider - Hospital | 3577472422 | Practice locations: Deerfield Beach, FL |
National Provider Directory
- Tax ID family
- Robert L Odell MD
- Part of
- Robert L Odell MD
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 4020 | FL | Yes |
Addresses
Primary practice location
201 E Sample Rd
Pompano Beach, FL 33064-3502
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Other names
- Broward Health North - Rehab
Other providers in Pompano Beach, FL
- Norman Flaten Todd & Hammond Neurologic Consultants PA
- North Broward Community Health Center
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
All providers in Pompano Beach, FL · Rehabilitation Hospital Unit in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.