Organization Active NPI

Jupiter FL Rehab LLC

  • Skilled Nursing Facility
  • Jupiter, FL
National Provider Identifier
1831900760
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JUPITER FL REHAB LLC
Practice address
17781 Thelma Ave
Jupiter, FL 33458-7942
Phone
(732) 619-4897
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Yechezkel Amoyelle
Title
Coo
Phone
(326) 194-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

17781 Thelma Ave
Jupiter, FL 33458-7942

Mailing address

4 Brighton Rd Ste 204
Clifton, NJ 07012-1668
Phone (917) 613-4386

National Provider Directory

National Provider Directory

Locations

4 Brighton Rd
Ste 204
Clifton, NJ 07012

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1831900760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 204",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121668",
            "telephone_number": "917-613-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17781 THELMA AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587942",
            "telephone_number": "732-619-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER FL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "AMOYELLE",
        "authorized_official_first_name": "YECHEZKEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "326-194-8977"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.