MEDICARE: JACKIE'S UNIQUE CARE RESIDENTIAL ASSISTED LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548809163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKIE'S UNIQUE CARE RESIDENTIAL ASSISTED LIVING

Provider Business Mailing Address
First Line	:	3621 ARALIA CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5637
Country	:	US
Telephone Number	:	561-707-0509
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 ARALIA CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5637
Country	:	US
Telephone Number	:	561-707-0509
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JACQUELINE SNEED
Credential	:
Telephone Number	:	561-707-0509

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	09/21/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1386298735 — JACQUELINE SNEED
Practice Location Address:

3621 ARALIA CT
WEST PALM BEACH, FL
33406-5637

Practice Phone: 561-707-0509
Practice Fax:

1780414052 — ADRIAN JESUS CASA BANGO
Practice Location Address:

5637 BASIL DR
WEST PALM BEACH, FL
33415-7013

Practice Phone: 786-312-9828
Practice Fax:

1922570134 — DR. CHARLES KEITH DIDDY DDS
Practice Location Address:

5637 N PALM AVE APT B
FRESNO, CA
93704-1829

Practice Phone: 559-246-0469
Practice Fax:

1871107953 — JESSICA RENEE WILLIAMSON
Practice Location Address:

1896 SMITHTON RD
WEST UNION, WV
26456-5637

Practice Phone: 304-844-7974
Practice Fax:

1154146694 — KARINA SUZETT MARQUEZ
Practice Location Address:

5637 BRENDON WAY WEST DR
INDIANAPOLIS, IN
46226-1110

Practice Phone: 317-383-6069
Practice Fax:

Directions to “JACKIE'S UNIQUE CARE RESIDENTIAL ASSISTED LIVING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.