OrganizationActive
Eastside Active Living LLC
NPI 1215323118 · Assisted Living Facility (Mental Illness) · Hollywood, FL
Provider details
- NPI number
- 1215323118
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Moses Syhead, Manager(954) 362-3487
- License
- AL12023 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1600 Taft St
Hollywood, FL 33020-3272
Phone: (954) 923-5057
Fax: (954) 927-7794
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Taft St
Hollywood, FL 33020-3272
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2016-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.