NORTH LAKE RETIREMENT HOME – Assisted Living Facility, NPI 1417153446

NORTH LAKE RETIREMENT HOME is a healthcare provider. based in Hollywood, Florida. specializing in Assisted Living Facility. The organization holds a License No. AL7395 (FL). The NPI Number for NORTH LAKE RETIREMENT HOME is 1417153446

Main info

Organization
Name
NORTH LAKE RETIREMENT HOME
NPI
1417153446
Phone
(954) 922-2643
Address
1222 N 16TH AVE
Authorized Official
MR. PASCAL BERGERON ASST ADM
Enumeration Date
26 June 2007
Last Update Date
1 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for NORTH LAKE RETIREMENT HOME

  • 1222, North 16th Avenue, Hollywood, Broward County, Florida, 33020, United States

    HOLLYWOOD, FL 330203741

    Phone: (954) 922-2643

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33020)

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Reviews

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Frequently asked questions

Where can patients find NORTH LAKE RETIREMENT HOME's NPI?
You can confirm NORTH LAKE RETIREMENT HOME with NPI 1417153446; it appears in the national provider directory.
Does this profile mean NORTH LAKE RETIREMENT HOME is currently active?
Yes — NORTH LAKE RETIREMENT HOME appears active in the national provider directory.
What kind of provider is NORTH LAKE RETIREMENT HOME?
The page reflects Assisted Living Facility for NORTH LAKE RETIREMENT HOME. Clinical services aligned with this taxonomy classification.
What location shows for NORTH LAKE RETIREMENT HOME?
We surface Hollywood, Florida for NORTH LAKE RETIREMENT HOME based on available NPPES addresses.
What if Hollywood, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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