Individual provider Active NPI

Ruth Jeune

  • Developmental Disabilities Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1578152187
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Practice address
3646 Hudson LN
Boynton Beach, FL 33436-8551
Phone
(786) 278-4303
NPI assigned
Jan 18, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN9503116 FL
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

3646 Hudson LN
Boynton Beach, FL 33436-8551

Mailing address

3646 Hudson LN
Boynton Beach, FL 33436-8551
Phone (786) 278-4303

Other names 1

  • Ruth Jeune Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9503116FLMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Triumph Home Health Services LLC In Home Supportive Care CurrentSince Dec 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1578152187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 HUDSON LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368551",
            "telephone_number": "786-278-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 HUDSON LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368551",
            "telephone_number": "786-278-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEUNE",
        "first_name": "RUTH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9503116",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "JEUNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.