Organization Active NPI

Optimax LLC

  • Assisted Living Facility (Mental Illness)
  • Hollywood, FL
National Provider Identifier
1821825795
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
OPTIMAX LLC
Doing business as
SHERIDAN MANOR INC
Practice address
2415 N 20TH Ave
Hollywood, FL 33020-2111
Phone
(305) 710-1373
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Karren Karapetian
Title
Owner
Phone
(305) 710-1373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2415 N 20TH Ave
Hollywood, FL 33020-2111

Mailing address

2415 N 20TH Ave
Hollywood, FL 33020-2111
Phone (305) 710-1373

Other names 1

  • SHERIDAN MANOR INC Doing business as

National Provider Directory

National Provider Directory

Locations

2415 N 20th Ave
Hollywood, FL 33020
Phone (954) 929-7505

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1821825795",
    "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": "305-710-1373"
        },
        {
            "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": "305-710-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "KARAPETIAN",
        "authorized_official_first_name": "KARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-710-1373"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERIDAN MANOR INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.