Organization Active NPI

Community Rehab Center

  • Health Maintenance Organization
  • West Palm Beach, FL
National Provider Identifier
1992858336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.