Organization Active NPI

Amisub Northridge Hospital ,Inc.

  • Skilled Nursing Facility
  • Oakland Park, FL
National Provider Identifier
1942229414
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4139 Issued in FL
Legal business name
AMISUB NORTHRIDGE HOSPITAL ,INC.
Practice address
5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone
(954) 776-6000
NPI assigned
Jul 18, 2006
Organization subpart
Yes
Parent organization
AMISUB NORTHRIDGE HOSPITAL ,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Mr. Craig C. Armin
Title
VP of Govt Programs, Tenet
Phone
(818) 436-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4139 FL Primary

Addresses

Primary practice location

5757 N Dixie Hwy
Oakland Park, FL 33334-4135

Mailing address

PO Box 740754
Atlanta, GA 30374-0754
Phone (561) 982-2189

Other names 1

  • North Ridge Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Amisub North Ridge Hosp

Locations

5757 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 463-4321

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1942229414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740754",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740754",
            "telephone_number": "561-982-2189",
            "fax_number": "954-493-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344135",
            "telephone_number": "954-776-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISUB NORTHRIDGE HOSPITAL ,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMISUB NORTHRIDGE HOSPITAL ,INC.",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ARMIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
        "authorized_official_telephone_number": "818-436-2267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Ridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.