HOLLYWOOD SA TENANT OPCO, LLC
NPI 1235754425
Assisted Living Facility in Hollywood, FL

Q: What is Hollywood Sa Tenant Opco, LLC's NPI number?

The NPI number for Hollywood Sa Tenant Opco, LLC is 1235754425. It was assigned to this organization in the NPPES registry on June 12, 2020. The provider is doing business as Presidential Place.

Q: What is Hollywood Sa Tenant Opco, LLC's specialty?

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

Active since June 12, 2020

3880 S CIRCLE DR, HOLLYWOOD, FL 33021(954) 894-0059 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hollywood Sa Tenant Opco, Llc NPPES

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

HOLLYWOOD SA TENANT OPCO, LLC (NPI 1235754425), doing business as Presidential Place, is a healthcare organization registered as an assisted living facility in Hollywood, Florida and active in the NPI registry since June 2020. The organization lists Kristin Kutac-ward, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1235754425

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHOLLYWOOD SA TENANT OPCO, LLC

Location Address3880 S CIRCLE DRHollywood, FL 33021-8622

Mailing Address3880 S Circle DrHollywood, FL 33021-8622 · (954) 894-0059

Phone(954) 894-0059

Organization SubpartNo

Authorized OfficialKristin Kutac-wardChief Executive Officer · (727) 220-4442

Enumeration DateJune 12, 2020

NPPES CertifiedJune 12, 2020

✔ NPI 1235754425 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.

3880 S CIRCLE DR, Hollywood, FL 33021

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Other Names 1

Doing Business AsPresidential Place

Other Providers at the Same Location NPPES 3

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

SL PRESIDENTIAL, LLC

Assisted Living Facility

3880 S CIRCLE DR
HOLLYWOOD, FL 33021

Broward County (954) 894-0059

SL PRESIDENTIAL LLC

Case Management

3880 S CIRCLE DR
HOLLYWOOD, FL 33021

Broward County (954) 894-0059

LCS PRESIDENTIAL PLACE TENANT LLC

Assisted Living Facility

3880 S CIRCLE DR
HOLLYWOOD, FL 33021

Broward County (515) 875-4500

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 Sa Tenant Opco, LLC's NPI number?

The NPI number for Hollywood Sa Tenant Opco, LLC is 1235754425. It was assigned to this organization in the NPPES registry on June 12, 2020. The provider is doing business as Presidential Place.

Where is Hollywood Sa Tenant Opco, LLC located?

Hollywood Sa Tenant Opco, LLC is located at 3880 S Circle Dr, Hollywood, FL 33021. The listed phone number is (954) 894-0059.

What is Hollywood Sa Tenant Opco, LLC'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 Hollywood Sa Tenant Opco, LLC was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.