Avante Care of Hollywood, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL9201 Issued in FL

Legal business name

AVANTE CARE OF HOLLYWOOD, INC.

Practice address

1200 Arthur St
Hollywood, FL 33019-3118

Phone

(954) 926-5600

Fax

(954) 926-8080

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Kimberly L. Biegasiewicz

Title

President

Phone

(407) 216-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Majestic Memory Care Center Doing business as

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1629310420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-216-0101",
            "fax_number": "407-318-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ARTHUR ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330193118",
            "telephone_number": "954-926-5600",
            "fax_number": "954-926-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE CARE OF HOLLYWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "BIEGASIEWICZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-216-0101"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL9201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Memory Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Majestic Memory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Matthew C Avery, MD
• Maria D Avila Robles, MD
• Daniella Avila
• Hailie Avila

• Assisted Living Facility (Mental Illness) in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.