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CHRISTALLIS MANOR LLC
NPI 1871937433
Assisted Living Facility in Hollywood, FL

Active since April 24, 2013
2119 WILSON ST, HOLLYWOOD, FL 33020(954) 921-0918(954) 921-0917 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christallis Manor Llc NPPES

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

CHRISTALLIS MANOR LLC (NPI 1871937433) is a healthcare organization registered as an assisted living facility in Hollywood, Florida and active in the NPI registry since April 2013. The organization lists Amparo Margot Dierking, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871937433
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHRISTALLIS MANOR LLC
Location Address2119 WILSON STHollywood, FL 33020-2648
Mailing Address2119 Wilson StHollywood, FL 33020-2648 · (954) 921-0918 · Fax (954) 921-0917
Phone(954) 921-0918
Fax(954) 921-0917
Organization SubpartNo
Authorized OfficialAmparo Margot DierkingAdministrator · (954) 274-5573
Enumeration DateApril 24, 2013
✔ NPI 1871937433 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 · AL 12232
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.
2119 WILSON ST, 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 Christallis Manor LLC's NPI number?

The NPI number for Christallis Manor LLC is 1871937433. It was assigned to this organization in the NPPES registry on April 24, 2013.

Where is Christallis Manor LLC located?

Christallis Manor LLC is located at 2119 Wilson St, Hollywood, FL 33020. The listed phone number is (954) 921-0918.

What is Christallis Manor 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 Christallis Manor LLC was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.