FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD
NPI 1265958839
Assisted Living Facility in Hollywood, FL
NPI Status: Active since August 16, 2017
Contact Information
2480 N PARK RD
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 989-8008
- Organization
- Assisted Living Facility
- CLIA Number: 10D2022420
- CLIA Cert. Type: Other - WELLNESS CENTER FOR INDEP
- CLIA Exp. Date: 03-31-2027
About FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD
This page provides the complete NPI Profile along with additional information for Five Star Premier Residences Of Hollywood, a provider established in Hollywood, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1265958839 assigned on August 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Five Star Premier Residences Of Hollywood. The authorized official of this NPI record is Jennifer F Mintzer (President & Chief Operating Officer)
- NPI
- 1265958839
- Provider Legal Name
- SNH SE TENANT TRS, INC
- Other Organization Name
- FIVE STAR PREMIER RESIDENCES OF HOLLYWOOD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2480 N PARK RD HOLLYWOOD, FL 33021
- Location Phone
- (954) 989-8008
- Mailing Address
- 2480 NORTH PARK ROAD HOLLYWOOD, FL 33021
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-16-2017
- Last Update Date
- 04-30-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2022420
- Facility Type
- Other - WELLNESS CENTER FOR INDEP
- Certificate Effective Date
- April 01, 2025
- Certificate Expiration Date
- March 31, 2027
- Laboratory Director
- SHERLIE FRANCOIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Five Star Premier Residences Of Hollywood to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265958839, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265958839, enumerated as an "organization" on August 16, 2017.
The provider is located at 2480 N PARK RD HOLLYWOOD, FL 33021 and the phone number is (954) 989-8008.
Assisted Living Facility with taxonomy code 310400000X.
