Organization Active NPI

JTS Sober House

  • Point of Service
  • West Palm Beach, FL
National Provider Identifier
1235572959
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
10D2056536 Issued in FL
Legal business name
JTS SOBER HOUSE
Practice address
4781 Elmhurst Rd
West Palm Beach, FL 33417-5331
Phone
(216) 470-2967
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Cedric Wilson
Title
President
Phone
(216) 470-2967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 10D2056536 FL Primary

Addresses

Primary practice location

4781 Elmhurst Rd
West Palm Beach, FL 33417-5331

Mailing address

4862 Regina CT
West Palm Beach, FL 33415-9165

National Provider Directory

National Provider Directory
Tax ID family
JTS House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1235572959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4862 REGINA CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 ELMHURST RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334175331",
            "telephone_number": "216-470-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTS SOBER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-470-2967"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "10D2056536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.