Center for Aging and Rehabilitation of Jefferson County Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTER FOR AGING AND REHABILITATION OF JEFFERSON COUNTY INC

Practice address

1780 N Jefferson Hwy
Monticello, FL 32344-5536

Phone

(954) 367-4597

NPI assigned

Mar 30, 2021

Last updated

Jun 7, 2021By 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. Mary Anne Wood

Title

Manager

Phone

(954) 367-4597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1780262907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SE 2ND ST STE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312101",
            "telephone_number": "954-367-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 N JEFFERSON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445536",
            "telephone_number": "954-367-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AGING AND REHABILITATION OF JEFFERSON COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARY  ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-367-4597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Monticello, FL
• Providers in Monticello, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.