HOLLYWOOD PAVILION LLC NPI 1326027723

NPI Information

NPI: 1326027723
Provider Name: HOLLYWOOD PAVILION LLC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 10D2144351

Address:
1201 N 37TH AVE
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 962-1355
Get Directions

HOLLYWOOD PAVILION LLC is a psychiatric hospital in Hollywood, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. HOLLYWOOD PAVILION LLC NPI is 1326027723. The provider is registered as an organization entity type.

The provider's business location address is:

1201 N 37TH AVE
HOLLYWOOD, FL
ZIP 33021-414
Phone: (954) 962-1355
Fax: (954) 981-5520

The provider's authorized official is Karen Kallen-zury .
The authorized official title is Ceo and has the following contact phone number (954) 962-1355.

The CLIA number assigned to this NPI record is 10D2144351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283Q00000X	Psychiatric Hospital		4361	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E80	OTHER	FLORIDA	BLUE CROSS PROVIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »