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NORTH LAKE RETIREMENT HOME
NPI 1417153446
Assisted Living Facility in Hollywood, FL

Active since June 26, 2007
1222 N 16TH AVE, HOLLYWOOD, FL 33020(954) 922-2643 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Lake Retirement Home NPPES

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

NORTH LAKE RETIREMENT HOME (NPI 1417153446) is a healthcare organization registered as an assisted living facility in Hollywood, Florida and active in the NPI registry since June 2007. The organization lists Pascal Bergeron, Asst Adm, as its authorized official.

NPPES Registry Identity

NPI1417153446
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNORTH LAKE RETIREMENT HOME
Location Address1222 N 16TH AVEHollywood, FL 33020-3741
Mailing Address1222 N 16th AveHollywood, FL 33020-3741 · (954) 922-2643
Phone(954) 922-2643
Organization SubpartNo
Authorized OfficialPascal BergeronAsst Adm · (954) 922-2643
Enumeration DateJune 26, 2007
Last NPPES UpdateOctober 1, 2007
✔ NPI 1417153446 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 · AL7395
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.
1222 N 16TH AVE, Hollywood, FL 33020
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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 North Lake Retirement Home's NPI number?

The NPI number for North Lake Retirement Home is 1417153446. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is North Lake Retirement Home located?

North Lake Retirement Home is located at 1222 N 16th Ave, Hollywood, FL 33020. The listed phone number is (954) 922-2643.

What is North Lake Retirement Home'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 North Lake Retirement Home was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.