Jakoubswellness, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JAKOUBSWELLNESS, INC.

Practice address

2 Oakwood Blvd Ste 195
Hollywood, FL 33020-1962

Phone

(305) 459-3410

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Miss Patrice Munroe

Title

Manager

Phone

(305) 459-3410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1154984250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD BLVD STE 195",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201962",
            "telephone_number": "305-459-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD BLVD STE 195",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201962",
            "telephone_number": "305-459-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKOUBSWELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MUNROE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-459-3410",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.