JTS SOBER HOUSE NPI 1235572959

NPI Information

  • NPI: 1235572959
  • Provider Name: JTS SOBER HOUSE
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 4781 ELMHURST RD
    WEST PALM BEACH, FL
    ZIP 33417
  • Phone: (216) 470-2967

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NPI Details

JTS SOBER HOUSE is a point of service in West Palm Beach, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. JTS SOBER HOUSE NPI is 1235572959. The provider is registered as an organization entity type.

The provider's business location address is:

4781 ELMHURST RD
WEST PALM BEACH, FL
ZIP 33417-331
Phone: (216) 470-2967

The provider's authorized official is Cedric Wilson .
The authorized official title is President and has the following contact phone number (216) 470-2967.

The enumeration date for this NPI number is 4/11/2013 and was last updated on 4/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service10D2056536FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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