Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christallis Manor LLC

Organization Assisted Living Facility · NPI 1871937433

Christallis Manor LLC is an Assisted Living Facility in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2119 Wilson St
Hollywood, FL 33020-2648
Phone: (954) 921-0918
Fax: (954) 921-0917
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL 12232 (FL)

Record details

NPI number1871937433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amparo Dierking — Administrator · (954) 274-5573
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013
Mailing address2119 Wilson St, Hollywood, FL 33020-2648

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