Active NPI
Jupiter FL Rehab LLC
- Skilled Nursing Facility
- Jupiter, FL
National Provider Identifier
1831900760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.