The Plaza at Pembroke Park

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5120 Issued in FL

Legal business name

THE PLAZA AT PEMBROKE PARK

Practice address

3535 SW 52ND Ave
Hollywood, FL 33023-5420

Phone

(954) 961-8111

Fax

(954) 964-2871

NPI assigned

Oct 30, 2012

Organization subpart

No

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

Authorized official

Name

Rachel Sade

Title

Business Ofiice Manager

Phone

(954) 961-8111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1336493337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SW 52ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330235420",
            "telephone_number": "954-961-8111",
            "fax_number": "954-964-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SW 52ND AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330235420",
            "telephone_number": "954-961-8111",
            "fax_number": "954-964-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLAZA AT PEMBROKE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "SADE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BUSINESS OFIICE MANAGER",
        "authorized_official_telephone_number": "954-961-8111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004773600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Gutstadt Group II L.L.C
• The Healing Crest Counseling Services LLC
• The Joint Venture
• The Joseph Meyerhoff Senior Center
• The MD Telemedicine Network PLLC
• The Pointe of Hollywood, LLC
• The Sloane Center, Inc
• The Speech Path LLC
• The Wellness Center at Post Haste
• Samantha Themas

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.