Active NPI
Community Rehab Center
- Health Maintenance Organization
- West Palm Beach, FL
National Provider Identifier
1992858336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- COMMUNITY REHAB CENTER
- Practice address
- 2800 N Military TRL
104
West Palm Beach, FL 33409-2951 - Phone
- (561) 683-7733
- Fax
- (561) 683-7726
- NPI assigned
- Jan 19, 2007
- 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
- Ms. Carline Cockrell
- Title
- President
- Phone
- (561) 312-2124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
2800 N Military TRL
104
West Palm Beach, FL 33409-2951
Mailing address
2800 N Military TRL
Suite 104
West Palm Beach, FL 33409-2951
Phone (561) 683-7733
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992858336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N MILITARY TRL",
"address_2": "SUITE 104",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092951",
"telephone_number": "561-683-7733",
"fax_number": "561-683-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N MILITARY TRL",
"address_2": "104",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092951",
"telephone_number": "561-683-7733",
"fax_number": "561-683-7726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY REHAB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COCKRELL",
"authorized_official_first_name": "CARLINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-312-2124",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Meliza W Commond, APRN
- Communication Corner Therapy LLC
- Community Care of Floida LLC
- Community Health Center of West Palm Beach, Inc
- Community Health Medical Center LLC
- Compassionate Complete Support Services, Inc
- Compassionate Heart Home Care Agency
- Reginald Compere
- Complete Comfort Home Care Corporation
- Complete Home Care of the Palm Beaches LLC
Sources for this page
- 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.