Courtyard Gardens Rehabilitation Center, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COURTYARD GARDENS REHABILITATION CENTER, L.L.C.

Practice address

17781 Thelma Ave
Jupiter, FL 33458-7942

Phone

(561) 746-9866

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By 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

Dr. George Charles Peck, M.D.

Title

Ceo

Phone

(561) 845-7767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1326289109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 US HIGHWAY 1",
            "address_2": "SUITE 303",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084617",
            "telephone_number": "561-845-7767",
            "fax_number": "561-828-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17781 THELMA AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587942",
            "telephone_number": "561-746-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD GARDENS REHABILITATION CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-845-7767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Jupiter, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.