RSC Pembroke Plaza

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RSC PEMBROKE PLAZA

Doing business as

Plaza of Pembroke Park

Practice address

3535 SW 52ND Ave
Pembroke Park, FL 33023-5420

Phone

(954) 961-8111

Fax

(954) 613-2301

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geremy Jordan

Title

Manager

Phone

(954) 613-2300

Specialties & licenses 1

Addresses

Other names 1

• Plaza of Pembroke Park Doing business as

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1437698396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 STIRLING RD",
            "address_2": "SUITE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201109",
            "telephone_number": "954-613-2300",
            "fax_number": "954-613-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SW 52ND AVE",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330235420",
            "telephone_number": "954-961-8111",
            "fax_number": "954-613-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSC PEMBROKE PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-613-2300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza of Pembroke Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvaneta Osbourne
• Physical Therapy Now Holdings, LLC (Physical Therapy Now Hollywood)
• Plaza of Pembroke Alf LLC
• Georges Remy
• Ariel Roper
• Cindy Maria Sanchez
• Serenity RG Services. Inc.
• Kareemah Shabazz
• Mildred Silva Suarez
• Surf Drugs Inc (SurfMed DME)

• Assisted Living Facility in Pembroke Park, FL
• Providers in Pembroke Park, 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 Feb 13, 2017; 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.