Jupiter Medical Center Pavilion, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SNF1263096 Issued in FL

Legal business name

JUPITER MEDICAL CENTER PAVILION, INC.

Doing business as

Lighthouse Detox

Practice address

1230 S Old Dixie Hwy
Jupiter, FL 33458-7205

Phone

(561) 263-5090

Fax

(561) 263-5730

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

JUPITER MEDICAL CENTER PAVILION, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Betsy Heartfield, MSPT, NHA

Title

Administrator

Phone

(561) 263-5090

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Detox Doing business as

Part of

Jupiter Medical Center Pavilioninc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1073914917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-5090",
            "fax_number": "561-263-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-5090",
            "fax_number": "561-263-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL CENTER PAVILION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUPITER MEDICAL CENTER PAVILION, INC.",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "HEARTFIELD",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-263-5090",
        "authorized_official_credential": "MSPT, NHA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "SNF1263096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jupiter Internal Medicine Group LLC
• Jupiter Kidney Center LLC
• Jupiter Lakes Physician Group PA
• Jupiter Laser and Regenerative Medicine LLC
• Jupiter Medical Center Pavilion Inc
• Jupiter Medical Center Physician Group
• Jupiter Medical Center Physicians Group (Jupiter Medical Center Urgent Care)
• Jupiter Medical Center Physicians Group (Jupiter Medical Center Urgent Care)
• Jupiter Medical Center Physicians Group Inc (JMC Community Care)
• Jupiter Medical Center Physicians Group Inc

• Substance Abuse Rehabilitation Facility in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.