Organization Active NPI

Hollywood Paradise Residence Inc

  • Health Maintenance Organization
  • Hollywood, FL
National Provider Identifier
1538324967
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
11323 Issued in FL
Legal business name
HOLLYWOOD PARADISE RESIDENCE INC
Practice address
1700 N 47TH Ave
Hollywood, FL 33021-4122
Phone
(954) 624-5824
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mrs. Lyvie Noel
Title
Owner
Phone
(954) 624-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 11323 FL Primary

Addresses

Primary practice location

1700 N 47TH Ave
Hollywood, FL 33021-4122

Mailing address

1700 N 47TH Ave
Hollywood, FL 33021
Phone (954) 624-5824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1538324967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N 47TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-624-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N 47TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214122",
            "telephone_number": "954-624-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PARADISE RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "LYVIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-624-5824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "11323",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2008; 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.