OrganizationActive
Hollywood Beach Retirement Home
NPI 1033498746 · Assisted Living Facility (Mental Illness) · Hollywood, FL
Provider details
- NPI number
- 1033498746
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ricki Kaneti, Administrator(954) 923-1726
- License
- AL5026 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1722 Madison St
Hollywood, FL 33020-5537
Phone: (954) 923-1726
Fax: (954) 923-8535
Street-level locationGet directions
Mailing address
1722 Madison St
Hollywood, FL 33020-5537
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2011-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.