SUNDANCE REHABILITATION AGENCY INC (NPI# 1871548842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871548842 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION AGENCY INC |
| Other Organization Name | FIVE POINTS REHABILITATION AGENCY |
| Practice Address |
2480 N Park Rd Hollywood FL 33021-3744 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 9549619522 |
| Practice Fax Number | 9549619524 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | SUE GWYN (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 7036841004 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNDANCE REHABILITATION CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
N/A | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Five Points Rehabilitation Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235184201 | Sundance Rehabilitation Agency Inc | Clinic/Center | 628 Congdon Street West, Middletown, CT 06457-1967 | 2006-05-24 |
| 1811354020 | Sundance Rehabilitation Agency Inc | Physical Therapist | 110 Cherry St, C/o Soldier's Home, Holyoke, MA 01040-7002 | 2016-01-19 |
| 1740688985 | Sundance Rehabilitation Agency Inc | Clinic/Center | 1657 Silverton Rd, C/o Chelsea At Toms River, Toms River, NJ 08753-1400 | 2014-12-19 |
| 1699720664 | Sundance Rehabilitation Agency Inc | Clinic/Center | 931 Buena Vista St, Suite 307, Duarte, CA 91010-1712 | 2006-05-24 |
| Street Address |
2480 N PARK RD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1508188780 | Sundance Rehab | Assisted Living Facility | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2010-02-16 |
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467013581 | Cora Health Services, Inc. | Clinic/Center | 5818 Hollywood Blvd, Hollywood, FL 33021-6316 | 2019-06-28 |
| 1366411670 | Select Physical Therapy Holdings Inc | Clinic/Center | 3325 Hollywood Blvd, Ste 200, Hollywood, FL 33021-6999 | 2006-03-17 |
| 1154324440 | Nrh-cpt Regional Rehab LLC | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2005-05-31 |
| 1447887781 | National Rehabiliation Hospital, Inc | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-03-25 |
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| 1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
| 1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
| 1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
| 1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
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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.