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FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD
NPI 1265958839
Assisted Living Facility in Hollywood, FL

Active since August 16, 2017CLIA 10D2022420 · Waiver
2480 N PARK RD, HOLLYWOOD, FL 33021(954) 989-8008 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Five Star Premier Residences Of Hollywood NPPES

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

FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD (NPI 1265958839) is a healthcare organization registered as an assisted living facility in Hollywood, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Jennifer F Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1265958839
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH SE TENANT TRS, INC
Location Address2480 N PARK RDHollywood, FL 33021-3744
Mailing Address2480 North Park RoadHollywood, FL 33021
Phone(954) 989-8008
Organization SubpartYesParent: Snh Se Tenant Trs, Inc.
Authorized OfficialJennifer F MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateAugust 16, 2017
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1265958839 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.
2480 N PARK RD, Hollywood, FL 33021
Open in Google Maps ↗

Other Names 1

Doing Business AsFive Star Premier Residences Of Hollywood

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 10D2022420

Five Star Premier Residences Of Hollywood · Hollywood, FL
Active · expires Mar 31, 2027
CLIA Number10D2022420
Laboratory TypeWellness Center For Indep
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorSherlie Francois
Laboratory Phone(954) 989-8008
Laboratory LocationFive Star Premier Residences Of Hollywood2480 North Park Road, Hollywood, FL 33021
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 7

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

LAURA ROBIN MOHAMMED MSPT
Physical Therapist
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 989-8008
MISS JESSICA L. IZYK PT, DPT
Physical Therapist
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 981-0584
CAYLA MARGOLIS
Speech-Language Pathologist
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (561) 213-6684
MS. ERICA GAGNE DPT
Physical Therapist
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 981-0584
SUNDANCE REHAB
Assisted Living Facility
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 961-9522
SUNDANCE REHABILITATION AGENCY INC
Clinic/Center (Rehabilitation)
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 961-9522
KYLE MYERS OTR/L
Occupational Therapist
2480 N PARK RD
HOLLYWOOD, FL 33021
Broward County (954) 961-9522

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 SE Tenant Trs, Inc's NPI number?

The NPI number for Snh SE Tenant Trs, Inc is 1265958839. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as Five Star Premier Residences Of Hollywood.

Where is Snh SE Tenant Trs, Inc located?

Snh SE Tenant Trs, Inc is located at 2480 N Park Rd, Hollywood, FL 33021. The listed phone number is (954) 989-8008.

What is Snh SE Tenant Trs, Inc's specialty?

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

Does Snh SE Tenant Trs, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2022420) is associated with this NPI, valid through March 31, 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 SE Tenant Trs, Inc was last updated on April 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.