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LIGHTHOUSE DETOX
NPI 1073914917
Substance Abuse Rehabilitation Facility in Jupiter, FL

Active since September 10, 2014
1230 S OLD DIXIE HWY, JUPITER, FL 33458(561) 263-5090(561) 263-5730 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE DETOX (NPI 1073914917) is a healthcare organization registered as a substance abuse rehabilitation facility in Jupiter, Florida and active in the NPI registry since September 2014. The organization lists Betsy Heartfield, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073914917
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJUPITER MEDICAL CENTER PAVILION, INC.
Location Address1230 S OLD DIXIE HWYJupiter, FL 33458-7205
Mailing Address1230 S Old Dixie HwyJupiter, FL 33458-7205 · (561) 263-5090 · Fax (561) 263-5730
Phone(561) 263-5090
Fax(561) 263-5730
Organization SubpartYes
Authorized OfficialBetsy HeartfieldAdministrator · (561) 263-5090
Enumeration DateSeptember 10, 2014
✔ NPI 1073914917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in FL · SNF1263096
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1230 S OLD DIXIE HWY, Jupiter, FL 33458
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Other Names 1

Doing Business AsLighthouse Detox

Other Identifiers 1

Medicare PIN105047FL

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE J JUSTINE PTA
Physical Therapy Assistant
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 744-4444
DAWN ZAPH
Physical Therapist
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 744-4444
STEPHANIE POLKA
Physical Therapist
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 744-4444
ROSA TRAINER M.S. CCC-SLP
Speech-Language Pathologist
1230 S OLD DIXIE HWY, THE PAVILION AT JUPITER MEDICAL CENTER
JUPITER, FL 33458
Palm Beach County (561) 744-4444
MRS. DIANNE SIPULA
Occupational Therapist
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 744-4444
KRISTINA NICOLE EDWARDS
Physical Therapist
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 744-4444
MS. LORETTA M TERI OTRL
Occupational Therapist
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 262-5487
KELLY MORAN
Occupational Therapist
1230 S OLD DIXIE HWY
JUPITER, FL 33458
Palm Beach County (561) 744-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jupiter Medical Center Pavilion, Inc.'s NPI number?

The NPI number for Jupiter Medical Center Pavilion, Inc. is 1073914917. It was assigned to this organization in the NPPES registry on September 10, 2014. The provider is doing business as Lighthouse Detox.

Where is Jupiter Medical Center Pavilion, Inc. located?

Jupiter Medical Center Pavilion, Inc. is located at 1230 S Old Dixie Hwy, Jupiter, FL 33458. The listed phone number is (561) 263-5090.

What is Jupiter Medical Center Pavilion, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Jupiter Medical Center Pavilion, Inc. was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.