NPIMap

Organization Active NPI

Decubex Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Orange Park, FL
National Provider Identifier
1023292893
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1022 Issued in FL
Legal business name
DECUBEX INCORPORATED
Practice address
1025 Blanding Blvd
Unit 503
Orange Park, FL 32065-7750
Phone
(904) 213-0426
Fax
(904) 276-2733
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DECUBEX INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Edward Shancey III
Title
President
Phone
(904) 213-0426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1022 FL Primary

Addresses

Primary practice location

1025 Blanding Blvd
Unit 503
Orange Park, FL 32065-7750

Mailing address

1519 Hobbs St
Tampa, FL 33619-0971
Phone (813) 643-6867

National Provider Directory

National Provider Directory
Tax ID family
Decubex Incorporated3 organizations share this tax ID, including this one
Part of
Decubex Incorporated

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 Blanding Blvd
Ste 503
Orange Park, FL 32065
Phone (904) 213-0426

1519 Hobbs St
Tampa, FL 33619

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1023292893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 HOBBS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336190971",
            "telephone_number": "813-643-6867",
            "fax_number": "813-643-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BLANDING BLVD",
            "address_2": "UNIT 503",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657750",
            "telephone_number": "904-213-0426",
            "fax_number": "904-276-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECUBEX INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECUBEX INCORPORATED",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "SHANCEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-213-0426",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.