Individual provider Active NPI

Maged Rafla

  • Home Health Agency
  • Ocala, FL
National Provider Identifier
1003644196
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299995391 Issued in FL
Practice address
2510 SE 17TH St
Ocala, FL 34471-5523
Phone
(352) 565-7155
Fax
(352) 565-7157
NPI assigned
Jul 22, 2024
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299995391 FL Primary

Addresses

Primary practice location

2510 SE 17TH St
Ocala, FL 34471-5523

Mailing address

2510 SE 17TH St
Ocala, FL 34471-5523
Phone (352) 565-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299995391FLMDHome Health Agency

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1003644196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715523",
            "telephone_number": "352-565-7155",
            "fax_number": "352-565-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715523",
            "telephone_number": "352-565-7155",
            "fax_number": "352-565-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFLA",
        "first_name": "MAGED",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299995391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.