SUNDANCE REHAB (NPI# 1508188780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188780 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHAB |
| Practice Address |
2480 N Park Rd Hollywood FL 33021-3744 |
| Mailing Address |
100 Se 11th Ct Deerfield Beach FL 33441-6620 |
| Practice Telephone | 9549619522 |
| Mailing Telephone | 9542548135 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | BARBARA CUFF (STAFF PT) |
| Authorized Official Telephone | 9549619522 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | PT16292 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013217140 | Sundance Rehab | Residential Treatment Facility, Physical Disabilities | 64 Miller Dr, Richmond Hill, GA 31324-4843 | 2010-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SUNDANCE REHABILATION CORPORATION | 101 East State Streett, Attn Tax Dept, Kennett Square, PA 19348 |
| Virginia Business Entities | SunDance Rehabilitation Agency LLC | 101 E State Streeet, Kennett Square, Pennsylvania 19348 |
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Massachusetts Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Oklahoma Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, LLC | 300 Deschutes Way Sw #304, Olympia, WA 98501 |
| Virginia Business Entities | SUNDANCE REHABILITATION CORPORATION | 101 East State Street, Kennett Square, Pennsylvania 19348 |
| Oregon Corporations, Companies and Business Names | SUNDANCE REHABILITATION CORPORATION | 101 East State Street, Kennett Square, PA 19348 |
| Vermont Business Registrations | SUNDANCE REHABILITATION CORPORATION | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Street Address |
2480 N PARK RD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871548842 | Sundance Rehabilitation Agency Inc | Clinic/Center | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2006-05-24 |
| 1265958839 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2017-08-16 |
| 1114261088 | Jessica L. Izyk | Physical Therapist | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2012-11-16 |
| 1376853820 | Erica Gagne | Physical Therapist | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2010-10-18 |
| 1881916013 | Kyle Myers | Occupational Therapist | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2010-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763521 | Lifestyle Living LLC | Assisted Living Facility | 3513 Polk St, Hollywood, FL 33021-6811 | 2020-09-04 |
| 1528686672 | Christallis Manor II LLC | Assisted Living Facility | 819 N 31st Ct, Hollywood, FL 33021-6111 | 2020-07-06 |
| 1346715257 | Mst Housing, LLC | Assisted Living Facility | 2525 Pierce St, Hollywood, FL 33020-4393 | 2018-10-06 |
| 1508349838 | Evita King | Assisted Living Facility | 2233 Mckinley St, Hollywood, FL 33020-3054 | 2018-09-12 |
| 1780034652 | Newport Home Care, Inc | Assisted Living Facility | 2811 Cleveland St, Hollywood, FL 33020-2928 | 2016-06-21 |
| 1033525928 | Y & G Enterprises,inc | Assisted Living Facility | 1835 Wilson St, Hollywood, FL 33020-2725 | 2014-07-11 |
| 1932511755 | Nova Palms Alf Inc | Assisted Living Facility | 1600 Taft St, Alf Unit, Hollywood, FL 33020-3272 | 2014-05-28 |
| 1417374489 | Loucasada Noel | Assisted Living Facility | 2003 Fletcher St, Hollywood, FL 33020-6317 | 2014-03-27 |
| 1710302740 | Vandor Geriatric Homecare Inc. | Assisted Living Facility | 2110 N 46th Ave, Hollywood, FL 33021-4161 | 2014-02-27 |
| 1720413206 | Buckingham Place LLC | Assisted Living Facility | 1845 Garfield St, Hollywood, FL 33020-3115 | 2013-09-04 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.