COOLIDGE PALMS ASSISTED LIVING RESORT
NPI 1093093775
Assisted Living Facility in Hollywood, FL

Active since July 28, 2011
2057 COOLIDGE ST, HOLLYWOOD, FL 33020(954) 266-4015 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coolidge Palms Assisted Living Resort NPPES

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

COOLIDGE PALMS ASSISTED LIVING RESORT (NPI 1093093775) is a healthcare organization registered as an assisted living facility in Hollywood, Florida and active in the NPI registry since July 2011. The organization lists Bruce Ellenbogen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093093775
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOOLIDGE PALMS ASSISTED LIVING RESORT
Location Address2057 COOLIDGE STHollywood, FL 33020-2427
Mailing Address2057 Coolidge StHollywood, FL 33020-2427
Organization SubpartNo
Authorized OfficialBruce EllenbogenAdministrator · (954) 266-4015
Enumeration DateJuly 28, 2011
NPI 1093093775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · 12022
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.

2057 COOLIDGE ST, Hollywood, FL 33020

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
2057 COOLIDGE ST
HOLLYWOOD, FL 33020
Assisted Living Facility
2057 COOLIDGE ST
HOLLYWOOD, FL 33020

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 Coolidge Palms Assisted Living Resort's NPI number?

The NPI number for Coolidge Palms Assisted Living Resort is 1093093775. It was assigned to this organization in the NPPES registry on July 28, 2011.

Where is Coolidge Palms Assisted Living Resort located?

Coolidge Palms Assisted Living Resort is located at 2057 Coolidge St, Hollywood, FL 33020. The listed phone number is (954) 266-4015.

What is Coolidge Palms Assisted Living Resort's specialty?

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

When was this NPI record last updated?

The NPPES record for Coolidge Palms Assisted Living Resort was last updated on July 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.