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

Q: What is Hollywood Beach Retirement Home's NPI number?

The NPI number for Hollywood Beach Retirement Home is 1033498746. It was assigned to this organization in the NPPES registry on August 11, 2011.

Q: What is Hollywood Beach Retirement Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

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: August 16, 2026.

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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

Phone(954) 923-1726

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

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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.

COSY HOMES, LLC

Assisted Living Facility (Assisted Living, Mental Illness)

1722 MADISON ST
HOLLYWOOD, FL 33020

Broward County (954) 923-1726

PETER THE GREAT II LLC

Assisted Living Facility (Assisted Living, Mental Illness)

1722 MADISON ST
HOLLYWOOD, FL 33020

Broward County (954) 923-1726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hollywood Beach Retirement Home's NPI number?

The NPI number for Hollywood Beach Retirement Home is 1033498746. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Hollywood Beach Retirement Home located?

Hollywood Beach Retirement Home is located at 1722 Madison St, Hollywood, FL 33020. The listed phone number is (954) 923-1726.

What is Hollywood Beach Retirement Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Hollywood Beach Retirement Home was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.