Center for Jewish Addiction Rehabilitation LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CENTER FOR JEWISH ADDICTION REHABILITATION LLC

Practice address

5005 E Roberts Rd
Avon Park, FL 33825-8727

Phone

(201) 334-2865

NPI assigned

Dec 5, 2023

Last updated

Dec 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Etan Pomerantz

Title

Coo

Phone

(201) 334-2865

Specialties & licenses 1

Addresses

Tax ID family

Center for Jewish Addiction Rehabilitation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Jewish Addiction Rehabilitation LLC

  • Substance Abuse Rehabilitation Facility
  • Sebring, FL
  • NPI 1174391197
  NPD tax ID
• Center for Jewish Addiction Rehabilitation LLC

  • Substance Abuse Rehabilitation Facility
  • Sebring, FL
  • NPI 1972013837
  NPD tax ID

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1104693787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 OCEAN MIST DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 E ROBERTS RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258727",
            "telephone_number": "201-334-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR JEWISH ADDICTION REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "POMERANTZ",
        "authorized_official_first_name": "ETAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-334-2865"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Avon Park, FL
• Providers in Avon Park, 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 Dec 19, 2023; 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.