OrganizationActive
Hollywood Beach Recovery
NPI 1639954951 · Mental Illness Community Based Residential Treatment Facility · Hollywood, FL
Provider details
- NPI number
- 1639954951
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tarvis Williams, President(305) 890-7982
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5555 Hollywood Blvd
Suite 303
Hollywood, FL 33021
Phone: (800) 485-3376
Street-level locationGet directions
Mailing address
5555 Hollywood Blvd
Hollywood, FL 33021
Registry dates
- Enumerated
- 2023-08-25
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.