Jade Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JADE MANOR LLC

Practice address

6625 Old Pasco Rd
Wesley Chapel, FL 33544

Phone

(786) 340-8053

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Irvin MoralesNPI 1619318722

Title

Owner

Phone

(786) 340-8053

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irvin Morales, DPT

  • Physical Therapist
  • Miami Beach, FL
  • NPI 1619318722
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1114750692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19467 BREYNIA DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585538",
            "telephone_number": "786-340-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 OLD PASCO RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "786-340-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-340-8053"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gerard Jackson, MD
• Shadia Jackson, CFA
• Sierra Jackson
• Jaclyn Lam Therapy
• Maria V Jacobelli-Cuevas
• Jennifer Jaimes
• James Liu, LLC
• James P Dameron DPM
• Krystal Janelle James
• Jonanne Jameson, ARNP

• Assisted Living Facility in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.