JUPITER MEDICAL DETOX LLC – NPI #1396058947
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

JUPITER MEDICAL DETOX LLC is a substance abuse rehabilitation facility located in JUPITER, FL. NPPES has assigned the NPI number 1396058947 to JUPITER MEDICAL DETOX LLC on July 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUPITER MEDICAL DETOX LLC below.

NPI Profile for
JUPITER MEDICAL DETOX LLC

NPI Number
1396058947
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JUPITER MEDICAL DETOX LLC
Primary location
1001 W INDIANTOWN RD
SUITE 103
JUPITER, FL 33458-6830
Phone: (561) 575-2020 Fax: (561) 427-0007
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARAH SACKS
MANAGER
Phone: (561) 575-2020
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.