Center for Jewish Addiction Rehabilitation LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2847520696501 Issued in FL

Legal business name

CENTER FOR JEWISH ADDICTION REHABILITATION LLC

Practice address

5731 Wolf Lake Rd
Sebring, FL 33875-8056

Phone

(201) 334-2865

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Etan Pomerantz

Title

Coo

Phone

(201) 334-2865

Specialties & licenses 1

Addresses

Tax ID family

Center for Jewish Addiction Rehabilitation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Jewish Addiction Rehabilitation LLC

  • Substance Abuse Rehabilitation Facility
  • Avon Park, FL
  • NPI 1104693787
  NPD tax ID
• Center for Jewish Addiction Rehabilitation LLC

  • Substance Abuse Rehabilitation Facility
  • Sebring, FL
  • NPI 1174391197
  NPD tax ID

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1972013837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 OCEAN MIST DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984910",
            "telephone_number": "201-334-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 WOLF LAKE RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338758056",
            "telephone_number": "201-334-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6549 Rajol Dr",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338755598",
            "country_code": "US",
            "telephone_number": "954-664-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR JEWISH ADDICTION REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "POMERANTZ",
        "authorized_official_first_name": "ETAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-334-2865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "2847520696501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Dennis Cavalcant, MD
• Sean Xavier Cavanaugh, M.D.
• Javislaine Ceballo Castillo
• Leslie Celestina, DDS PA
• Center for Jewish Addiction Rehabilitation LLC
• Central FL Hearing Services PLLC
• Central Florida Imaging Center Inc
• Central Florida Internal, Occupational & Environmental Medicine, P.a.
• Central Florida Medical & Diagnostic Clinic, PA
• Central Florida Neuropsychology, LLC

• Substance Abuse Rehabilitation Facility in Sebring, FL
• Providers in Sebring, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.