SENIOR LIVING PROPERTIES-PENINSULA, LLC (NPI# 1821434895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821434895 |
| Entity Type | Organization |
| Organization Name | SENIOR LIVING PROPERTIES-PENINSULA, LLC |
| Other Organization Name | THE PENINSULA |
| Practice Address |
5100 W Hallandale Beach Blvd Hollywood FL 33023-7005 |
| Mailing Address |
4611 Johnson Rd Suite 1 Coconut Creek FL 33073-4361 |
| Practice Telephone | 9548937755 |
| Practice Fax Number | 8548936733 |
| Mailing Telephone | 9546911030 |
| Mailing Fax Number | 9546911036 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | URI RUBIN (CFO) |
| Authorized Official Telephone | 9546911030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9196 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Peninsula | Doing Business As Name - Organization |
| Street Address |
5100 W HALLANDALE BEACH BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33023-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952667255 | Kari Rogozinski | Occupational Therapist | 5100 W Hallandale Beach Blvd, Hollywood, FL 33023-7005 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
| 1144789843 | Fausta Mortimer Virgile | Nurse Practitioner | 6640 Dahlia Drive, Miramar, FL 33023 | 2019-03-13 |
| 1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
| 1790203305 | Cassandra Mckenley | Occupational Therapy Assistant | 2931 Utopia Dr, Miramar, FL 33023 | 2017-09-04 |
| 1518497130 | Paradise Senior Center Inc | Clinic/Center | 6240 Pembroke Rd, Miramar, FL 33023 | 2017-06-15 |
| 1710416128 | Optimum Health & Nutrition, LLC | Nutritionist | 3261 Sw 64th Terrace, Miramar, FL 33023 | 2017-06-08 |
| 1275064271 | Esther Ranero Carrazana | Behavioral Analyst | 6412 Sw 21st St, Miramar, FL 33023 | 2017-03-22 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1619426392 | Tunlab Home Health Agency Inc. | Day Training, Developmentally Disabled Services | 6724 Camelia Drive, Miramar, FL 33023 | 2016-09-23 |
| 1215385182 | Ruth Giraudy | Behavior Technician | 7912 Biltmore Blvd, Miramar, FL 33023 | 2016-06-01 |
| Find all providers in zip 33023 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on SENIOR LIVING PROPERTIES-PENINSULA, LLC.
| 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.