Senior Living Properties-Peninsula, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9196 Issued in FL

Legal business name

SENIOR LIVING PROPERTIES-PENINSULA, LLC

Doing business as

The Peninsula

Practice address

5100 W Hallandale Beach Blvd
Hollywood, FL 33023-7005

Phone

(954) 893-7755

Fax

(854) 893-6733

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Uri Rubin

Title

Cfo

Phone

(954) 691-1030

Specialties & licenses 1

Addresses

Other names 1

• The Peninsula Doing business as

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1821434895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JOHNSON RD",
            "address_2": "SUITE 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734361",
            "telephone_number": "954-691-1030",
            "fax_number": "954-691-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W HALLANDALE BEACH BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330237005",
            "telephone_number": "954-893-7755",
            "fax_number": "854-893-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES-PENINSULA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-691-1030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Peninsula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seminole Tribe of Florida
• Seminole Tribe of Florida Health Department (Seminole Pharmacy)
• Seminole Tribe of Florida Health Dept.
• Buse Sengul, M.D.
• Senior Care Golfcrest LLC (Golfcrest Healthcare Center)
• Senior Medical Associates LLC
• Senior Medical Care I LLC
• Senior Services Group Inc.
• Senior Support Services, Inc.
• Michelle M Senko

• 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 May 17, 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.