JTS SOBER HOUSE
NPI 1235572959
Point of Service in West Palm Beach, FL

Active since April 11, 2013
4781 ELMHURST RD, WEST PALM BEACH, FL 33417(216) 470-2967 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Point of Service

About JTS SOBER HOUSE

This page provides the complete NPI Profile along with additional information for Jts Sober House, a provider established in West Palm Beach, Florida operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1235572959 assigned on April 2013. The practitioner's primary taxonomy code is 305S00000X with license number 10D2056536 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Cedric Wilson (President)

NPI
1235572959 Verify this NPI
Provider Name
JTS SOBER HOUSE
Entity Type
Organization
Location Address
4781 ELMHURST RD WEST PALM BEACH, FL 33417
Location Phone
(216) 470-2967
Mailing Address
4862 REGINA CT WEST PALM BEACH, FL 33415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2013
Last Update Date
04-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
10D2056536
License State
FL
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CEDRIC WILSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 470-2967

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinical Medical Laboratory
4781 ELMHURST RD
WEST PALM BEACH, FL 33417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235572959, enumerated as an "organization" on April 11, 2013.

The provider is located at 4781 ELMHURST RD WEST PALM BEACH, FL 33417 and the phone number is (216) 470-2967.

Point of Service with taxonomy code 305S00000X.