Active NPI
Rehabilitation Center at Hollywood Hills, LLC
- Skilled Nursing Facility
- Hollywood, FL
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(5) exclusion effective Nov 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1238096
- Legal business name
- REHABILITATION CENTER AT HOLLYWOOD HILLS, LLC
- Practice address
- 1200 N 35TH Ave
Hollywood, FL 33021-5413 - Phone
- (954) 981-5511
- Fax
- (954) 981-7229
- NPI assigned
- Jul 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack J Michel, MD
- Title
- President and Chairman of the Board
- Phone
- (305) 284-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031342400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- South Miami, FL
- NPI 1710133459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437523200000",
"number": "1487039392",
"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": "REHABILITATION CENTER AT HOLLYWOOD HILLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A",
"authorized_official_last_name": "MICHEL",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT AND CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "305-284-7700",
"authorized_official_credential": "MD"
},
"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"
}
],
"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 Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.