JACKSON HOSPITAL (NPI# 1043334162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043334162 |
| Entity Type | Organization |
| Organization Name | JACKSON HOSPITAL |
| Practice Address |
1033 Sw 72nd Avenue Miami FL 33156 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 3056656798 |
| Mailing Telephone | 3055856262 |
| Mailing Fax Number | 3055852457 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AUGUSTO SARMIENTO (ASSOC MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3055856262 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | ME9057 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306046131 | Jackson Hospital | General Acute Care Hospital | 10730 Sw 30th Pl, Davie, FL 33328-1536 | 2007-07-19 |
| 1275733693 | Jackson Hospital | General Acute Care Hospital | 1722 Pine St, 11th Floor, Montgomery, AL 36106-1103 | 2007-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACKSON HOSPITAL | 1725 Pine St, Montgomery, AL 36106-1109 |
| Virginia Business Entities | JACKSON HOSPITAL AUXILIARY INC. STONEWALL | 1 Health Circle, Lexington, Virginia 24450 |
| Indiana Business Entities | JACKSON HOSPITALITY SERVICES OF FLORIDA, INC. | One Office Park Circle, Ste. 210, Birmingham, AL 35223 |
| Street Address |
1033 SW 72ND AVENUE |
| City | MIAMI |
| State | FL |
| Zip Code | 33156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235437401 | Encompass Health Rehabilitation Hospital of Miami, LLC | Rehabilitation Hospital | 20601 Old Cutler Road, Miami, FL 33189 | 2011-03-11 |
| 1417396433 | S&m Physical Therapy | Rehabilitation Hospital | 175 Fontainebleau Blvd, Suite 2k4, Miami, FL 33172-7018 | 2013-06-24 |
| 1912290131 | Xtreme Medical Center,corp | Rehabilitation Hospital | 12809 Sw 42nd St, Miami, FL 33175-3424 | 2011-05-20 |
| 1578865861 | West Gables Rehabilitation Hospital LLC | Rehabilitation Hospital | 2525 Sw 75th Ave, Miami, FL 33155-2800 | 2010-11-19 |
| 1942513361 | Neuro Rehabilitation Associates, LLC | Rehabilitation Hospital | 2525 Sw 75th Ave, Miami, FL 33155-2800 | 2010-07-15 |
| 1275733487 | Patricia Cecilia Zayas | Rehabilitation Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-07-25 |
| 1427097815 | West Gables Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 2525 Sw 75th Ave, Miami, FL 33155-2800 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1689079634 | Helen S Moore | Rehabilitation Hospital | 1483 Shadow Creek Dr, Orange Park, FL 32065-2514 | 2014-11-01 |
| 1942553599 | Encompass Health Rehabilitation Hospital of Martin County, LLC | Rehabilitation Hospital | 5850 Se Community Drive, Stuart, FL 34997 | 2012-10-19 |
| 1215251137 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 325 Braden Ave, Sarasota, FL 34243-2021 | 2010-03-22 |
| 1578887493 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 632 Battersea Dr, St Augustine, FL 32095-8432 | 2010-03-22 |
| 1710189634 | Palm Partners, LLC | Rehabilitation Hospital | 705 Linton Blvd, Delray Beach, FL 33444-8164 | 2007-06-04 |
| 1669691473 | Treatment Solutions of So Florida, Inc | Rehabilitation Hospital | 150 Sw 12th Ave Ste 320, Pompano Beach, FL 33069-3238 | 2007-04-24 |
| 1497878300 | Heather Lynn Morgan | Rehabilitation Hospital | 3033 Cabela Ln, Crestview, FL 32539-9401 | 2007-04-06 |
| 1619027547 | Berliant Enterprises LLC | Rehabilitation Hospital | 875 Military Trl Ste 208, Jupiter, FL 33458-5700 | 2007-01-11 |
| 1588749329 | Professional Medical Rehabilitation Inc. | Rehabilitation Hospital | 4548 Deer Trail Blvd, Sarasota, FL 34238-5608 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.