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POMPANO BEACH SLC TENANT LLC
NPI 1033900097
Assisted Living Facility in Pompano Beach, FL

Active since May 16, 2025CLIA 10D2132116 · Waiver
1371 S OCEAN BLVD, POMPANO BEACH, FL 33062(617) 796-8300 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pompano Beach Slc Tenant Llc NPPES

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

POMPANO BEACH SLC TENANT LLC (NPI 1033900097), doing business as Five Star Premier Residences Of Pompano Beach, is a healthcare organization registered as an assisted living facility in Pompano Beach, Florida and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Christopher J Bilotto, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1033900097
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePOMPANO BEACH SLC TENANT LLC
Location Address1371 S OCEAN BLVDPompano Beach, FL 33062-7130
Mailing Address255 Washington St Ste 230Newton, MA 02458-1644 · (617) 796-8300
Phone(617) 796-8300
Organization SubpartYesParent: Dhc Fm Trs Holdco Llc
Authorized OfficialChristopher J BilottoPresident & Chief Executive Officer · (617) 796-8387
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1033900097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

1371 S OCEAN BLVD, Pompano Beach, FL 33062
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Other Names 1

Doing Business AsFive Star Premier Residences Of Pompano Beach

Other Identifiers 1

Medicaid126772800FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2132116

Pompano Beach Slc Tenant LLC Dba Five Star Premier Residences Of Pompano Beach · Pompano Beach, FL
Active · expires Jun 12, 2027
CLIA Number10D2132116
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorRocsana Bowers
Laboratory Phone(954) 943-1155
Laboratory LocationPompano Beach Slc Tenant LLC Dba Five Star Premier Residences Of Pompano Beach1371 South Ocean Blvd, Pompano Beach, FL 33062
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MR. RICHARD EDWARD VERDUN MS OTR/L
Occupational Therapist
1371 S OCEAN BLVD
POMPANO BEACH, FL 33062
Broward County (954) 545-7155
SNH SE TENANT TRS, INC
Assisted Living Facility
1371 S OCEAN BLVD
POMPANO BEACH, FL 33062
Broward County (954) 943-1155
ANDREA VAZQUEZ DPT
Physical Therapist
1371 S OCEAN BLVD
POMPANO BEACH, FL 33062
Broward County (954) 545-7155
MRS. SUSAN EVELYN SHAFRAN LCSW
Social Worker (Clinical)
1371 S OCEAN BLVD
POMPANO BEACH, FL 33062
Broward County (954) 943-1155
ELIZABETH F BREEDING OTR
Occupational Therapist
1371 S OCEAN BLVD
POMPANO BEACH, FL 33062
Broward County (954) 785-8229

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 Pompano Beach Slc Tenant LLC's NPI number?

The NPI number for Pompano Beach Slc Tenant LLC is 1033900097. It was assigned to this organization in the NPPES registry on May 16, 2025. The provider is doing business as Five Star Premier Residences of Pompano Beach.

Where is Pompano Beach Slc Tenant LLC located?

Pompano Beach Slc Tenant LLC is located at 1371 S Ocean Blvd, Pompano Beach, FL 33062. The listed phone number is (617) 796-8300.

What is Pompano Beach Slc Tenant LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Pompano Beach Slc Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2132116) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pompano Beach Slc Tenant LLC was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.