JUPITER MEDICAL DETOX LLC (NPI# 1396058947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396058947 |
| Entity Type | Organization |
| Organization Name | JUPITER MEDICAL DETOX LLC |
| Practice Address |
1001 W Indiantown Rd Suite 103 Jupiter FL 33458-6830 |
| Practice Telephone | 5615752020 |
| Practice Fax Number | 5614270007 |
| Mailing Telephone | 5615752020 |
| Mailing Fax Number | 5614270007 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |
| Authorized Official Name | MRS. SARAH R SACKS (MANAGER) |
| Authorized Official Telephone | 5615752020 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
1001 W INDIANTOWN RD SUITE 103 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578630562 | Richard Steckler | Dentist | 1001 W Indiantown Rd, Suite 106, Jupiter, FL 33458-6830 | 2006-11-29 |
| 1427589464 | Premier Dentistry of Jupiter | Dentist | 1001 W Indiantown Rd, Suite 106, Jupiter, FL 33458-6830 | 2017-03-22 |
| 1881125839 | Premier Dentistry of North Palm Beach | Dentist | 1001 W Indiantown Rd, Suite #106, Jupiter, FL 33458-6830 | 2017-03-22 |
| 1427461995 | Best Life Counseling Diagnostics Pllc | Psychiatry & Neurology | 1001 W Indiantown Rd, Suite 107, Jupiter, FL 33458-6830 | 2014-06-03 |
| 1467899096 | Richard Steckler Dds,pa | Dentist | 1001 W Indiantown Rd, Suite 106, Jupiter, FL 33458-6830 | 2013-05-22 |
| 1346513751 | Best Life Counseling, LLC | Counselor | 1001 W Indiantown Rd, 107, Jupiter, FL 33458-6830 | 2012-02-15 |
| 1427320183 | Jennifer Benaim | Counselor | 1001 W Indiantown Rd, Suite 107, Jupiter, FL 33458-6830 | 2012-01-27 |
| 1043489123 | Sarah R Sacks Inc | Social Worker | 1001 W Indiantown Rd, Suite 103, Jupiter, FL 33458-6830 | 2008-02-22 |
| 1851453229 | Sarah Rutherford Sacks | Social Worker | 1001 W Indiantown Rd, Suite 103, Jupiter, FL 33458-6830 | 2006-12-14 |
| 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 | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056527 | Recovery Village | Substance Abuse Rehabilitation Facility | 5994 Nw 74th St, Parkland, FL 33067-2451 | 2017-04-04 |
| 1699222026 | Sequel Tsi of Florida, LLC | Substance Abuse Rehabilitation Facility | 9680 Fairground Rd, West Palm Beach, FL 33411-3528 | 2016-09-01 |
| 1619371531 | Carolina Botero | Substance Abuse Rehabilitation Facility | 169 E Flagler St Suite 1300, Miami, FL 33131 | 2014-10-21 |
| 1497166292 | Saved By Grace | Substance Abuse Rehabilitation Facility | 245 S Swinton Ave, Delray Beach, FL 33444-3657 | 2014-05-14 |
| 1346680733 | Singer Island Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4400 N Congress Ave, Suite 101, West Palm Beach, FL 33407 | 2013-06-28 |
| 1326485475 | Shores Treatment and Recovery Service LLC | Substance Abuse Rehabilitation Facility | 8493 S Us Highway 1, Unit 14, Port St Lucie, FL 34952-3360 | 2013-05-30 |
| 1740572239 | Medi-bill Plus Inc. | Substance Abuse Rehabilitation Facility | 2040 Nw 28th St, Oakland Park, FL 33311-2116 | 2011-05-03 |
| 1265751762 | St Johns Youth Academy | Substance Abuse Rehabilitation Facility | 4500 Avenue D, St Augustine, FL 32095-5245 | 2010-05-24 |
| 1336478304 | Sequel Tsi of Florida, LLC Marion Program | Substance Abuse Rehabilitation Facility | 10420 Nw Gainesville Rd, Ocala, FL 34482-1446 | 2009-12-21 |
| 1912235870 | Sequel Tsi of Florida, LLC Union Program | Substance Abuse Rehabilitation Facility | 14692 Ne County Road 199, Raiford, FL 32083-2519 | 2009-12-03 |
| 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.