NPIMap

Organization Active NPI

Rehabilitation Center for Children and Adults

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Palm Beach, FL
National Provider Identifier
1710964887
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
REHABILITATION CENTER FOR CHILDREN AND ADULTS
Practice address
300 Royal Palm Way
Palm Beach, FL 33480-4305
Phone
(561) 655-7266
Fax
(561) 655-3269
NPI assigned
Dec 29, 2005
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Pamela J. Henderson
Title
Executive Director
Phone
(561) 655-7266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

300 Royal Palm Way
Palm Beach, FL 33480-4305

Mailing address

300 Royal Palm Way
Palm Beach, FL 33480-4305
Phone (561) 655-7266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000371 FL Part A Provider - Comprehensive Outpatient Rehabilitation Facility 8123115490 Practice locations: Palm Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710964887. Details of each certification follow.

  • CCN 104506 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 104506

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHAB CTR FOR CHILDREN AND ADU
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Mar 10, 1983
Last certification
Aug 11, 2023
Ownership / control type
Other
Facility address
300 Royal Palm Way
Palm Beach, FL 33480

National Provider Directory

National Provider Directory

Locations

300 Royal Palm Way
Palm Beach, FL 33480
Phone (561) 655-7266

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1710964887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROYAL PALM WAY",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804305",
            "telephone_number": "561-655-7266",
            "fax_number": "561-655-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROYAL PALM WAY",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804305",
            "telephone_number": "561-655-7266",
            "fax_number": "561-655-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CENTER FOR CHILDREN AND ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-655-7266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.