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

Peter the Great II LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1366312670

Peter the Great II LLC is an Assisted Living Facility (Mental Illness) in Hollywood, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

1722 Madison St
Hollywood, FL 33020-5537
Phone: (954) 923-1726
Fax: (954) 923-8535
Show map & directions

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

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1366312670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonid Averbukh — Owner · (917) 913-9966
Other names Hollywood Beach Retirement Home Ii
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address1722 Madison St, Hollywood, FL 33020-5537

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