Organization Active NPI

Rehabilitation Center at Hollywood Hills, LLC

  • Skilled Nursing Facility
  • Hollywood, FL
National Provider Identifier
1487039392
Registry record updated Jul 22, 2015
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1238096 Issued in FL
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

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Jack J Michel, MDNPI 1710133459
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)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 1

IdentifierTypeStateIssuer
031342400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member 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.

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

Verify at the official NPI Registry.