Healthcare Provider Details

I. General information

NPI: 1124818737
Provider Name (Legal Business Name): TAMARAC SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 NW 88TH AVE
TAMARAC FL
33321-2003
US

IV. Provider business mailing address

465 OBERLIN AVE S STE 401
LAKEWOOD NJ
08701-6904
US

V. Phone/Fax

Practice location:
  • Phone: 954-722-9330
  • Fax:
Mailing address:
  • Phone: 212-308-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SOLOMON KLEIN
Title or Position: CEO
Credential:
Phone: 347-909-1811