Jeanrob Corp

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL6628 Issued in FL

Legal business name

JEANROB CORP

Doing business as

new river villas

Practice address

408 Cooley Ave
Fort Lauderdale, FL 33312-2567

Phone

(954) 462-4445

Fax

(954) 761-3146

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By 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

Mr. Robert G Altman

Title

Owner

Phone

(954) 462-4445

Specialties & licenses 1

Addresses

Other names 1

• new river villas Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871615690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 COOLEY AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122567",
            "telephone_number": "954-462-4445",
            "fax_number": "954-761-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 COOLEY AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122567",
            "telephone_number": "954-462-4445",
            "fax_number": "954-761-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANROB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-462-4445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new river villas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayana Jean
• Franck Jean
• Gessica Jean, LMFT
• Kattiamine Jean, CRNA
• Jasmine Jeannot Richards
• Sarah Beyda Jeanty, APRN
• Stephanie Jeanty
• Lauren Jeffers, PSYD
• Jessica Jefferson, LCSW
• Tinesha S Jefferson

• Assisted Living Facility (Mental Illness) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.