JLW Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JLW HEALTHCARE LLC

Practice address

10556 Lake Jasmine Dr
Boca Raton, FL 33498-1616

Phone

(561) 603-1445

NPI assigned

Nov 19, 2019

Last updated

Oct 2, 2020By 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

Maria Rivera

Title

Owner

Phone

(855) 541-5461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1174169759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 N PACIFIC COAST CIR",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333092262",
            "telephone_number": "561-828-9191",
            "fax_number": "954-900-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10556 LAKE JASMINE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981616",
            "telephone_number": "561-603-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLW HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-541-5461"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos J Jimenez, MD
• Claudia Esperanza Jimenez, C.R.T.
• Jason Jimenez, PSYD
• Lachandia Jimerson
• JLM Nutrition Consulting Services, Inc
• Jmake Health Care Services LLC
• Joann D. Pham OD PA
• Jodi Jacobson, L.C.S.W., P.a.
• Joel Barry Kornberg, MD, PA
• Joel I Silverman DO, PA

• Community/Behavioral Health Agency in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.