Reflections of Jupiter LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9160 Issued in FL

Legal business name

REFLECTIONS OF JUPITER LLC

Doing business as

Reflections at Quiet Waters

Practice address

306 SW10 TH Street
Belle Glade, FL 33430

Phone

(561) 721-4699

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Marie Grippaldi, LPN

Title

Administrator

Phone

(561) 721-4699

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reflections at Quiet Waters Doing business as

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1356632145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SW 10TH ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303282",
            "telephone_number": "561-721-4699",
            "fax_number": "561-844-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SW10 TH STREET",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "33430",
            "telephone_number": "561-721-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS OF JUPITER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "GRIPPALDI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-721-4699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003102100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections at Quiet Waters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip L Provenzale, DDS
• Dale B Pugliese, R.N.
• William Quintero Perez, MD
• Carlos Sebastian Ramos Encarnacion, MD, MPH
• Sideana Y Raymond, MD
• Reliable Medical Equipment
• Tania Alicia Ritchie
• Royal Palm Beach Rehab Corp (Action Physical Therapy)
• Royal Palm Beach Rehab, Corp (Action Physical Therapy)
• Royal Palm Beach Rehab, Corp. (Florida Orthocare)

• Adult Day Care Clinic/Center in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.