HOLLYWOOD BEACH RETIREMENT HOME
NPI 1033498746
Assisted Living Facility - Assisted Living, Mental Illness in Hollywood, FL

Active since August 11, 2011
1722 MADISON ST, HOLLYWOOD, FL 33020(954) 923-1726(954) 923-8535 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hollywood Beach Retirement Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLYWOOD BEACH RETIREMENT HOME (NPI 1033498746) is a healthcare organization registered as an assisted living, mental illness in Hollywood, Florida and active in the NPI registry since August 2011. The organization lists Ricki Kaneti, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033498746
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameHOLLYWOOD BEACH RETIREMENT HOME
Location Address1722 MADISON STHollywood, FL 33020-5537
Mailing Address1722 Madison StHollywood, FL 33020-5537 · (954) 923-1726 · Fax (954) 923-8535
Fax(954) 923-8535
Organization SubpartNo
Authorized OfficialRicki KanetiAdministrator · (954) 923-1726
Enumeration DateAugust 11, 2011
NPI 1033498746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · AL5026
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1722 MADISON ST, Hollywood, FL 33020

Other Identifiers 1

Medicaid140923900FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility (Assisted Living, Mental Illness)
1722 MADISON ST
HOLLYWOOD, FL 33020
Assisted Living Facility (Assisted Living, Mental Illness)
1722 MADISON ST
HOLLYWOOD, FL 33020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033498746, enumerated as an "organization" on August 11, 2011.

The provider is located at 1722 MADISON ST HOLLYWOOD, FL 33020 and the phone number is (954) 923-1726.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.