Wilmington Rehab LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WILMINGTON REHAB LLC

Practice address

4724 Castle Hayne Rd
Castle Hayne, NC 28429-6403

Phone

(305) 651-3261

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Daniel Jacob

Title

Ceo

Phone

(646) 596-4370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1609707900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD STE 134",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-651-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 CASTLE HAYNE RD",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296403",
            "telephone_number": "305-651-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-596-4370"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Innovative Services, LLC
• Jillian Tyszka, LCSWA
• Diane Upton, RN IBCLC
• Vaughn Acres Counseling PLLC
• Jennifer Gosnell Walker, MSW, LCSW
• Charles Marion Wilson, RPH
• Yahweh Center Children'S Village
• Yahweh Center Childrens Village
• Yahweh Center Childrens Village
• Youth & Family Alliance, Inc

• Substance Abuse Rehabilitation Facility in Castle Hayne, NC
• Providers in Castle Hayne, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.