Organization Active NPI

Hollywood Manor II

  • Assisted Living Facility
  • Hollywood, FL
National Provider Identifier
1356672729
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11701 Issued in FL
Legal business name
HOLLYWOOD MANOR II
Practice address
2527 Jackson St
Hollywood, FL 33020-4930
Phone
(954) 374-9444
Fax
(954) 367-6019
NPI assigned
Jan 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Ronald Francois
Title
Administrator
Phone
(954) 245-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11701 FL Primary

Addresses

Primary practice location

2527 Jackson St
Hollywood, FL 33020-4930

Mailing address

2527 Jackson St
Hollywood, FL 33020-4930
Phone (954) 374-9444

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1356672729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 JACKSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204930",
            "telephone_number": "954-374-9444",
            "fax_number": "954-367-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 JACKSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204930",
            "telephone_number": "954-374-9444",
            "fax_number": "954-367-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MANOR II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "FRANCOIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-245-5119"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.