AMC, LLC D/B/A BRAINWORX ACADEMY (NPI# 1144604307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144604307 |
| Entity Type | Organization |
| Organization Name | AMC, LLC D/B/A BRAINWORX ACADEMY |
| Practice Address |
641 University Blvd Ste 108 Jupiter FL 33458-2792 |
| Practice Telephone | 5616258061 |
| Practice Fax Number | 5616259350 |
| Mailing Telephone | 5616258061 |
| Mailing Fax Number | 5616259350 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | KELLI ARCHER (DIRECTOR) |
| Authorized Official Telephone | 5616258061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Street Address |
641 UNIVERSITY BLVD STE 108 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950620 | Pace Place of Northeast Florida, Inc | PACE Provider Organization | 5450 Ramona Blvd, Jacksonville, FL 32205-4750 | 2019-06-06 |
| 1487137030 | K and L Loving Care of Lehigh Acres Assisted Living Facility Inc. | PACE Provider Organization | 4504 6th St W, Lehigh Acres, FL 33971-1100 | 2018-09-10 |
| 1518401017 | Cornerstone Pace LLC | PACE Provider Organization | 5601 S Orange Ave, Suite 5665, Orlando, FL 32809-4229 | 2016-12-19 |
| 1275083727 | Veenakumar | PACE Provider Organization | 12152 Basalt Dr S, Jacksonville, FL 32246-0680 | 2016-10-08 |
| 1548678634 | Emerald Home Care Corp | PACE Provider Organization | 14228-30 Sw 8 Street, Suite 23, Miami, FL 33184 | 2014-08-01 |
| 1427473552 | Pasco County Board of County Commissioners | PACE Provider Organization | 8600 Galen Wilson Blvd, Port Richey, FL 34668-5973 | 2014-02-26 |
| 1104178839 | Linjohn Medical Billing | PACE Provider Organization | 2 Miracle Strip Loop Ste 5, Panama City Beach, FL 32407-8412 | 2012-10-04 |
| 1619241320 | Leonardo Hernandez | PACE Provider Organization | 8009 Nw 36th St Ste 236, Doral, FL 33166-6638 | 2012-02-27 |
| 1295025591 | Dianand Rajigadoo | PACE Provider Organization | 1020 Chelsea Parc Dr, Minneola, FL 34715-8160 | 2011-04-08 |
| 1821308446 | Signing Hands Interpreting Services | PACE Provider Organization | 18900 Ne 3rd Ct, Suite # 537, North Miami Beach, FL 33179-3845 | 2010-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.