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

North Lake Retirement Home

Organization Assisted Living Facility · NPI 1417153446

North Lake Retirement Home is an Assisted Living Facility in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1222 N 16th Ave
Hollywood, FL 33020-3741
Phone: (954) 922-2643
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 AL7395 (FL)

Record details

NPI number1417153446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pascal Bergeron — Asst Adm · (954) 922-2643
NPI enumeratedJune 26, 2007
Last updated in NPPESOctober 1, 2007
Mailing address1222 N 16th Ave, Hollywood, FL 33020-3741

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