Jacquis Palace

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9852 Issued in FL

Legal business name

JACQUIS PALACE

Practice address

771 W 27TH St
Hialeah, FL 33010-1215

Phone

(305) 469-3985

Fax

(305) 225-1289

NPI assigned

May 30, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyne V Bendig

Title

Owner

Phone

(305) 469-3985

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1629279492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 W 27TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101215",
            "telephone_number": "305-469-3985",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W 27TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101215",
            "telephone_number": "305-469-3985",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUIS PALACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BENDIG",
        "authorized_official_first_name": "JACQUELYNE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-469-3985"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141236100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jac Medical Center, Inc
• Anu Sherry Jacob, ARNP
• Yaidelys Jacomino Bermudez
• Ivonne Ileana Jacomino Lopez, FNP
• Jennifer Jacomino
• Ghulam Jafferi, MD
• Jag Medical Center LLC
• Jaime a. Soteras MD PA
• Jaime E. Campos, M.D., P.a.
• Jaime Garcia, M.D., P.a.

• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.