Organization Active NPI

AMC, LLC D/B/a Brainworx Academy

  • PACE Provider Organization
  • Jupiter, FL
National Provider Identifier
1144604307
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
AMC, LLC D/B/A BRAINWORX ACADEMY
Practice address
641 University Blvd Ste 108
Jupiter, FL 33458-2792
Phone
(561) 625-8061
Fax
(561) 625-9350
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Kelli Archer
Title
Director
Phone
(561) 625-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

641 University Blvd Ste 108
Jupiter, FL 33458-2792

Mailing address

641 University Blvd Ste 108
Jupiter, FL 33458-2792
Phone (561) 625-8061

National Provider Directory

National Provider Directory

Locations

641 University Blvd
Ste 108
Jupiter, FL 33458
Phone (561) 625-8061

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1144604307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 108",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582792",
            "telephone_number": "561-625-8061",
            "fax_number": "561-625-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 108",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582792",
            "telephone_number": "561-625-8061",
            "fax_number": "561-625-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC, LLC D/B/A BRAINWORX ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-625-8061"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.