LP Hollywood, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11760963 Issued in FL

Legal business name

LP HOLLYWOOD, LLC

Practice address

600 N 17TH Ave
Hollywood, FL 33020-4606

Phone

(954) 927-2531

Fax

(954) 927-0425

NPI assigned

Mar 9, 2010

Organization subpart

Yes

Parent organization

LP O HOLDINGS II, LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 2

Addresses

Other names 1

• Golfcrest Healthcare Center Doing business as

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1306169156",
    "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": "LP HOLLYWOOD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS II, LLC",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "SNF11760963",
            "primary": false
        },
        {
            "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"
        }
    ]
}

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• Amanda Darniecia Lubin
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• 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 Mar 1, 2012; 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.