Organization Active NPI

Hollywood Hills Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Hollywood, FL
National Provider Identifier
1447219019
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1238096 Issued in FL
Legal business name
HOLLYWOOD HILLS REHABILITATION CENTER, LLC
Practice address
1200 N 35TH Ave
Hollywood, FL 33021-5413
Phone
(954) 981-5511
Fax
(954) 981-7229
NPI assigned
Mar 21, 2006
Organization subpart
Yes
Parent organization
HIGH RIDGE MANAGEMENT CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Jon Steinmeyer, NHA
Title
Receiver
Phone
(305) 851-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1238096 FL Primary

Addresses

Primary practice location

1200 N 35TH Ave
Hollywood, FL 33021-5413

Mailing address

1200 N 35TH Ave
Hollywood, FL 33021-5413
Phone (954) 981-5511

Other identifiers 2

IdentifierTypeStateIssuer
031342400MedicaidFL
N70OtherFLBLUE CROSS

National Provider Directory

National Provider Directory
Part of
Hollywood Hills Rehabilitation Center LLC

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1447219019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 35TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215413",
            "telephone_number": "954-981-5511",
            "fax_number": "954-981-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 35TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215413",
            "telephone_number": "954-981-5511",
            "fax_number": "954-981-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD HILLS REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH RIDGE MANAGEMENT CORP",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "STEINMEYER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "305-851-1788",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1238096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031342400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N70",
            "state": "FL"
        }
    ],
    "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 Feb 26, 2015; 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.