Organization Active NPI

Jacto,Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Palm Beach, FL
National Provider Identifier
1942505920
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
091234 Issued in FL
Legal business name
JACTO,INC
Practice address
3448 Tyringham Dr
West Palm Beach, FL 33406-5055
Phone
(561) 966-8150
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Claudette Speakman
Title
President
Phone
(561) 707-8748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 091234 FL Primary

Addresses

Primary practice location

3448 Tyringham Dr
West Palm Beach, FL 33406-5055

Mailing address

3448 Tyringham Dr
West Palm Beach, FL 33406-5055

Other identifiers 1

IdentifierTypeStateIssuer
689242696MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1942505920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 TYRINGHAM DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 TYRINGHAM DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065055",
            "telephone_number": "561-966-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACTO,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "SPEAKMAN",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-707-8748"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "091234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689242696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.