The Peninsula – Assisted Living Facility, NPI 1821434895

The Peninsula is a healthcare provider. based in Coconut creek, Florida. specializing in Assisted Living Facility. The organization holds a License No. AL9196 (FL). The NPI Number for The Peninsula is 1821434895

Main info

Organization
Name
The Peninsula
NPI
1821434895
Phone
(954) 691-1030
Address
4611 JOHNSON RD
Authorized Official
URI RUBIN CFO
Enumeration Date
17 May 2013
Last Update Date
17 May 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for The Peninsula

  • 4611 JOHNSON RD

    SUITE 1

    COCONUT CREEK, FL 330734361

    Phone: (954) 691-1030

    Fax: (954) 691-1036

    Type: Mailing

  • 5100 W HALLANDALE BEACH BLVD

    HOLLYWOOD, FL 330237005

    Phone: (954) 893-7755

    Fax: (854) 893-6733

    Type: Location

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33073)

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Reviews

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Frequently asked questions

Is The Peninsula listed with a National Provider Identifier?
Yes — The Peninsula has NPI 1821434895 on file in the registry.
Active or inactive — what applies to The Peninsula?
You should see The Peninsula as active in CMS-hosted NPPES data.
How would a patient describe The Peninsula's focus?
For The Peninsula, the primary taxonomy reads as Assisted Living Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for The Peninsula?
Travel planning: use Coconut Creek, Florida as the reference point for The Peninsula, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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