South Broward Hospital District
NPI 1114920584 · Skilled Nursing Facility · Pembroke Pines, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Broward Hospital District is a Skilled Nursing Facility organization in Pembroke Pines, FL (NPI 1114920584).
Provider details
- NPI number
- 1114920584
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Hennemyre, Administrator(954) 276-6201
- License
- SNF1342096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Mailing address
Other names (DBA / former)
- Doing business as
- Memorial Manor
- Doing business as
- Memorial Manor Nursing Home
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2019-01-23
Frequently asked questions
- What is South Broward Hospital District's NPI number?
- South Broward Hospital District's National Provider Identifier (NPI) is 1114920584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Broward Hospital District?
- South Broward Hospital District is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is South Broward Hospital District located?
- South Broward Hospital District's practice location on file with NPPES is 777 S Douglas Rd, Pembroke Pines, FL 33025-1353.
- What is South Broward Hospital District's phone number?
- The practice phone number listed in the NPPES registry for South Broward Hospital District is (954) 431-1100.
- Does South Broward Hospital District accept Medicare?
- South Broward Hospital District is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Broward Hospital District?
- The authorized official listed on South Broward Hospital District's NPPES record is Jon Hennemyre, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Broward Hospital District's NPI active?
- Yes — South Broward Hospital District's NPI (1114920584) is active in the NPPES registry as of the last update on 2019-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.