Sheridan Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9093 Issued in FL

Legal business name

SHERIDAN MANOR INC

Practice address

2415 N 20TH Ave
Hollywood, FL 33020-2111

Phone

(954) 929-7505

Fax

(954) 929-7572

NPI assigned

Aug 27, 2013

Last updated

Aug 27, 2013By 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

Yury Lyudin

Title

Owner

Phone

(954) 929-7505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1750715710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N 20TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202111",
            "telephone_number": "954-929-7505",
            "fax_number": "954-929-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N 20TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202111",
            "telephone_number": "954-929-7505",
            "fax_number": "954-929-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "LYUDIN",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-929-7505"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp, Inc
• Sheridan Home Health Care, Inc.
• Sheridan MRI & Diagnostics, LLC
• Sheridan Psychology Group PLLC
• Marissa Sherman, SLP
• Sherol's Homecare Inc
• Elena Shershon

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, 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 Aug 27, 2013; 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.