12 Keys Rehab Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1943AD158702 Issued in FL

Legal business name

12 KEYS REHAB INC

Practice address

618 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4750

Phone

(772) 323-2676

Fax

(772) 323-2679

NPI assigned

Sep 15, 2008

Last updated

Feb 10, 2014By 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

Mrs. Maureen E Kool

Title

Ceo

Phone

(954) 678-0078

Specialties & licenses 1

Addresses

Tax ID family

12 Keys Rehab Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 12 Keys Rehab, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jensen Beach, FL
  • NPI 1598036691
  NPD tax ID

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1750530747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 NE MAPLE AVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577261",
            "telephone_number": "954-678-0078",
            "fax_number": "772-323-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574750",
            "telephone_number": "772-323-2676",
            "fax_number": "772-323-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12 KEYS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "KOOL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-678-0078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1943AD158702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 12 Keys Medical Group LLC
• 12 Keys Rehab, Inc
• A Center of Life, Inc. (Brown Family Chiropractic Center)
• Access Health Physician Services LLC
• Access Health Physician Services LLC
• Nancy B Adams, OT

• Substance Use Disorder Rehabilitation Clinic/Center in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.