Organization Active NPI

Jackie's Unique Care Residential Assisted Living

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1548809163
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JACKIE'S UNIQUE CARE RESIDENTIAL ASSISTED LIVING
Practice address
3621 Aralia CT
West Palm Beach, FL 33406-5637
Phone
(561) 707-0509
NPI assigned
Dec 30, 2019
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Ms. Jacqueline SneedNPI 1386298735
Title
Owner
Phone
(561) 707-0509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3621 Aralia CT
West Palm Beach, FL 33406-5637

Mailing address

3621 Aralia CT
West Palm Beach, FL 33406-5637
Phone (561) 707-0509

Other identifiers 1

IdentifierTypeStateIssuer
105210000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1548809163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 ARALIA CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065637",
            "telephone_number": "561-707-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARALIA CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065637",
            "telephone_number": "561-707-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE'S UNIQUE CARE RESIDENTIAL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-707-0509",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105210000",
            "state": "FL"
        }
    ],
    "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 Sep 21, 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.