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FIVE STAR PREMIER RESIDENCES OF PLANTATION
NPI 1053749580
Assisted Living Facility in Plantation, FL

Active since October 18, 2013CLIA 10D0992415 · Waiver
8500 W SUNRISE BLVD, PLANTATION, FL 33322(954) 476-8500 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Five Star Premier Residences Of Plantation NPPES

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

FIVE STAR PREMIER RESIDENCES OF PLANTATION (NPI 1053749580) is a healthcare organization registered as an assisted living facility in Plantation, Florida and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Jennifer F Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1053749580
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH PLFL TENANT LLC
Location Address8500 W SUNRISE BLVDPlantation, FL 33322-4017
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350
Phone(954) 476-8500
Organization SubpartYes
Authorized OfficialJennifer F MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateOctober 18, 2013
Last NPPES UpdateSeptember 4, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2020
✔ NPI 1053749580 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.
8500 W SUNRISE BLVD, Plantation, FL 33322
Open in Google Maps ↗

Other Names 1

Doing Business AsFive Star Premier Residences Of Plantation

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 10D0992415

Five Star Premier Residences Of Plantation · Plantation, FL
Active · expires Oct 15, 2027
CLIA Number10D0992415
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorKimberly M. Rogers
Laboratory Phone(954) 476-8500
Laboratory LocationFive Star Premier Residences Of Plantation8500 West Sunrise Blvd, Plantation, FL 33322
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ANNA CARRIE LI DPT
Physical Therapist
8500 W SUNRISE BLVD
PLANTATION, FL 33322
Broward County (954) 476-8500
KARA IANNUZZI
Physical Therapist
8500 W SUNRISE BLVD
PLANTATION, FL 33322
Broward County (954) 476-4791
MRS. DAMARIS PEREZ KOPSICK P.T.
Physical Therapist
8500 W SUNRISE BLVD, APT. # 316
PLANTATION, FL 33322
Broward County (954) 472-2890
DONNA GERMAN WOOD
Physical Therapy Assistant
8500 W SUNRISE BLVD
PLANTATION, FL 33322
Broward County (954) 309-2573

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 Snh Plfl Tenant LLC's NPI number?

The NPI number for Snh Plfl Tenant LLC is 1053749580. It was assigned to this organization in the NPPES registry on October 18, 2013. The provider is doing business as Five Star Premier Residences Of Plantation.

Where is Snh Plfl Tenant LLC located?

Snh Plfl Tenant LLC is located at 8500 W Sunrise Blvd, Plantation, FL 33322. The listed phone number is (954) 476-8500.

What is Snh Plfl Tenant LLC's specialty?

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

Does Snh Plfl Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0992415) is associated with this NPI, valid through October 15, 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 Snh Plfl Tenant LLC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.