Hollywood Beach Retirement Home

LBN: Hollywood Beach Retirement Home
Hollywood Beach Retirement Home is an health care organization with primary practice located at 1722 Madison St , Hollywood FL 33020-5537. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Hollywood Beach Retirement Home can be contacted via phone (954) 923-1726, or through Kaneti, Ricki via phone (954) 923-1726.

Contact Information

Primary practice address
1722 Madison St Hollywood FL 33020-5537
Phone: (954) 923-1726
Fax: (954) 923-8535
Website:
Map and Directions
Authorized official contact:
Name: Kaneti, Ricki
Phone: (954) 923-1726

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL5026 Florida

Profile Details

NPI number 1033498746
LBN Legal business name Hollywood Beach Retirement Home
DBA Doing business as
Authorized official Kaneti, Ricki
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2011
Last updated Aug 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033498746 NPPES
Florida MEDICAID 140923900

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