Prestige Care Hallandale LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRESTIGE CARE HALLANDALE LLC

Practice address

105 SW 4TH St
Hallandale Beach, FL 33009-6337

Phone

(305) 397-3829

Fax

(305) 912-7799

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By 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

Roman Goldenberg

Title

Manager

Phone

(305) 397-3829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1518733153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19840 NE 26TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802208",
            "telephone_number": "305-397-3829",
            "fax_number": "305-912-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SW 4TH ST",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096337",
            "telephone_number": "305-397-3829",
            "fax_number": "305-912-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE HALLANDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-397-3829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hallandale Beach, FL
• Providers in Hallandale Beach, 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 Nov 27, 2023; 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.