Organization Active NPI

Jerry Healing Hands .LLC

  • Health Service Clinic/Center
  • Greenacres, FL
National Provider Identifier
1568074946
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JERRY HEALING HANDS .LLC
Practice address
5700 Lake Worth Rd Ste 209
Greenacres, FL 33463-4727
Phone
(786) 262-7450
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Miss Kettlyne Stcyr, ARNP
Title
Owner
Phone
(786) 262-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5700 Lake Worth Rd Ste 209
Greenacres, FL 33463-4727

Mailing address

1021 Ives Dairy Rd Ste 115
Miami, FL 33179-2537
Phone (954) 483-9664

National Provider Directory

National Provider Directory

Locations

5700 Lake Worth Rd
Ste 209
Greenacres, FL 33463
Phone (561) 641-2956

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1568074946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "954-483-9664",
            "fax_number": "954-281-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 209",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "786-262-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY HEALING HANDS .LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "STCYR",
        "authorized_official_first_name": "KETTLYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-262-7450",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.