OrganizationActive
Palms Villa Retirement Home, Inc.
NPI 1083866818 · Assisted Living Facility (Mental Illness) · Oakland Park, FL
Provider details
- NPI number
- 1083866818
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Kissoonlal, President(954) 484-1350
- License
- AL4990 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2131 Nw 28th St
Oakland Park, FL 33311-2136
Phone: (954) 484-1350
Fax: (954) 527-0505
Street-level locationGet directions
Mailing address
2131 Nw 28th St
Oakland Park, FL 33311-2136
Other names (DBA / former)
- Doing business as
- Palms Villa
- Doing business as
- Palms Villa Retirement Home
Registry dates
- Enumerated
- 2008-10-10
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.