Provider Demographics
NPI:1902475155
Name:JUPITER SENIOR LIVING LLC
Entity Type:Organization
Organization Name:JUPITER SENIOR LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:305-458-3835
Mailing Address - Street 1:1000 GATES AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-6295
Mailing Address - Country:US
Mailing Address - Phone:718-852-7000
Mailing Address - Fax:
Practice Address - Street 1:650 PIONEER RD # 5
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8834
Practice Address - Country:US
Practice Address - Phone:565-375-0401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility