Washington Manor Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF15840951 Issued in FL

Legal business name

WASHINGTON MANOR HEALTH CARE ASSOCIATES LLC

Practice address

4200 Washington St
Hollywood, FL 33021-7353

Phone

(954) 981-6300

Fax

(954) 967-2725

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Carmen J. Telot

Title

Manager

Phone

(954) 981-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillcrest Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1750337671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217353",
            "telephone_number": "954-981-6300",
            "fax_number": "954-967-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217353",
            "telephone_number": "954-981-6300",
            "fax_number": "954-967-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MANOR HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "TELOT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-981-6300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15840951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025253100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamra L Ward, APRN
• Charlie J Ware Jr., LMT, DOM
• Troniese Mikieya Ware
• Carol Wartenberg, PH.D.
• Daniel Warum, M.D.
• Moses Anthony Washington, M.D.
• Jason Wasser, LMFT
• Daniel A Wasserman, DOM
• Lisa Wasserman, PSY.D., ATR-BC
• Water Lilly Pharmacy LLC

• Skilled Nursing Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.