Organization Active NPI

Ca/SLC Senior Hobe Sound Operator, LLC

  • Assisted Living Facility
  • Hobe Sound, FL
National Provider Identifier
1619633740
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CA/SLC SENIOR HOBE SOUND OPERATOR, LLC
Practice address
5785 SE Pinehurst TRL
Hobe Sound, FL 33455-1105
Phone
(772) 212-4740
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Stephen Levy
Title
Agent for Owner
Phone
(312) 673-4387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5785 SE Pinehurst TRL
Hobe Sound, FL 33455-1105

Mailing address

5785 SE Pinehurst TRL
Hobe Sound, FL 33455-1105
Phone (772) 212-4740

Other names 1

  • The Sheridan at Hobe Sound Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2186474Sheridan at Hobe Sound, the5785 SE Pinehurst Trail, Hobe Sound, FL 33455Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1619633740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 SE PINEHURST TRL",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334551105",
            "telephone_number": "772-212-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 SE PINEHURST TRL",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334551105",
            "telephone_number": "772-212-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA/SLC SENIOR HOBE SOUND OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AGENT FOR OWNER",
        "authorized_official_telephone_number": "312-673-4387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sheridan at Hobe Sound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.