12 KEYS REHAB INC (NPI# 1750530747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750530747 |
| Entity Type | Organization |
| Organization Name | 12 KEYS REHAB INC |
| Practice Address |
618 Ne Jensen Beach Blvd Jensen Beach FL 34957-4750 |
| Mailing Address |
3203 Ne Maple Ave Jensen Beach FL 34957-7261 |
| Practice Telephone | 7723232676 |
| Practice Fax Number | 7723232679 |
| Mailing Telephone | 9546780078 |
| Mailing Fax Number | 7723232679 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2014-02-10 |
| Authorized Official Name | MRS. MAUREEN E KOOL (CEO) |
| Authorized Official Telephone | 9546780078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1943AD158702 | FL | Ambulatory Health Care Facilities |
| Street Address |
618 NE JENSEN BEACH BLVD |
| City | JENSEN BEACH |
| State | FL |
| Zip Code | 34957-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750738589 | 12 Keys Medical Group LLC | Psychologist | 618 Ne Jensen Beach Blvd, Jensen Beach, FL 34957-4750 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760902282 | Spaahmed LLC | Internal Medicine | 1820 Nejensen Beach Blvd, Ste 561, Jensen Beach, FL 34957 | 2017-06-26 |
| 1346627270 | Wellness Counseling & Residential Detoxification Services | Substance Abuse Rehabilitation Facility | 3650-3670 Ne Indian River Drive, Jensen Beach, FL 34957 | 2015-04-29 |
| 1891085981 | Geri Deanne Motes | Massage Therapist | 736 Ne Jensen Beach Blvd, Jensen Beach, FL 34957 | 2011-04-11 |
| 1477866358 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1764 Ne Jensen Beach Blvd., Jensen Beach, FL 34957 | 2010-07-20 |
| 1902123771 | Jennifer Leigh Legg | Pharmacist | 1114 Ne Jensen Beach Blvd., Jensen Beach, FL 34957 | 2010-05-03 |
| 1144450305 | Sharon D Schweiger | Occupational Therapist | 3992 Nw Cinnamon Tree Cir, Jensen Beach, FL 34957 | 2009-07-22 |
| 1821227778 | Jensen Physical Therapy Inc. | Preventive Medicine | 702 Jensen Beach Blvd., Jensen Beach, FL 34957 | 2009-07-13 |
| 1386879260 | Clifford Francis Christiansen | Social Worker | 9550 South Ocean Drive, Suite #1506, Jensen Beach, FL 34957 | 2009-05-21 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1730324575 | Diana Bernabei-macchia | Early Intervention Provider Agency | 85 Ne Elderberry Ter, Jensen Beach, FL 34957 | 2008-12-09 |
| Find all providers in zip 34957 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598036691 | 12 Keys Rehab, Inc | Clinic/Center | 3203 Ne Maple Ave, Jensen Beach, FL 34957-7261 | 2012-01-20 |
| 1720491996 | Pathways Recovery Center, LLC | Clinic/Center | 642 Ne Jensen Beach Blvd, Jensen Beach, FL 34957-4750 | 2014-06-05 |
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| Find all providers with the same taxonomy | ||||
| City | JENSEN BEACH |
| Zip Code | 34957 |
Please comment or provide details below to improve the information on 12 KEYS REHAB INC.
| 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.