Organization Active NPI

Jibe Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Boca Raton, FL
National Provider Identifier
1629520838
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
JIBE RECOVERY SERVICES
Practice address
3010 N Military TRL
Suite 302
Boca Raton, FL 33431-6361
Phone
(954) 655-6549
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
James Virgilio, DC
Title
MGR
Phone
(954) 655-6549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3010 N Military TRL
Suite 302
Boca Raton, FL 33431-6361

Mailing address

3010 N Military TRL
Suite 302
Boca Raton, FL 33431-6361

National Provider Directory

National Provider Directory

Locations

3010 N Military Trl
Ste 302
Boca Raton, FL 33431
Phone (954) 655-6549

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1629520838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 N MILITARY TRL",
            "address_2": "SUITE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 N MILITARY TRL",
            "address_2": "SUITE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316361",
            "telephone_number": "954-655-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIBE RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "VIRGILIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-655-6549",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.