JACOBS WELL (NPI# 1699136192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699136192 |
| Entity Type | Organization |
| Organization Name | JACOBS WELL |
| Practice Address |
9990 Sw 77th Ave Ste 204 Miami FL 33156-2660 |
| Practice Telephone | 3055173142 |
| Mailing Telephone | 3055173142 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | MS. DONNA ISIDORA (CEO) |
| Authorized Official Telephone | 3055173142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SW6661 | FL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Jacobs Well | 5530 Sample Way, Colorado Springs, CO 80919 |
| Iowa Business Entities | JACOBS WELL DRILLING, INC. | 1904 Garfield, P.o. Box 182, Harlan, IA 51537-018 |
| Street Address |
9990 SW 77TH AVE STE 204 |
| City | MIAMI |
| State | FL |
| Zip Code | 33156-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053865642 | International Recovery Center LLC | Clinic/Center | 1825 Nw 112th Ave, Ste 151, Miami, FL 33172-1815 | 2016-08-11 |
| 1134507890 | Enhanced Healing Wellness Center | Clinic/Center | 875 Ne 79th St, Miami, FL 33138-4740 | 2015-05-14 |
| 1417214297 | Acceptance Counseling Services, Inc. | Clinic/Center | 760 Nw 4th St, Miami, FL 33128-1464 | 2012-04-18 |
| 1427277946 | Lighthouse Cmhc | Clinic/Center | 1704 Nw 7th St, Miami, FL 33125-3502 | 2007-04-24 |
| 1225176621 | Trauma Resolution Center Inc | Clinic/Center | 3000 Biscayne Blvd, Suite 210, Miami, FL 33137-4130 | 2007-02-01 |
| 1992168066 | Enhanced Healing Wellness Center | Clinic/Center | 875 Ne 79th St, Miami, FL 33138-4740 | 2016-04-05 |
| 1861857476 | Acceptance Life Counseling | Clinic/Center | 1312 Sw 27th Ave Fl 3, Miami, FL 33145-1243 | 2015-12-24 |
| 1558605139 | Acceptance Counseling Services, Inc | Clinic/Center | 760 Nw 4th St, Ste 102, Miami, FL 33128-1464 | 2012-11-20 |
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| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| 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.