Organization Active NPI

Desire Health Care Corp.

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1215345160
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DESIRE HEALTH CARE CORP.
Practice address
3636 University Blvd S Ste A8
Jacksonville, FL 32216-4210
Phone
(904) 553-4900
Fax
(866) 266-8160
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Geysel Acosta
Title
Administrator, Ceo
Phone
(904) 504-0504

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Home Health Agency 251E00000X 299994677 FL
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3636 University Blvd S Ste A8
Jacksonville, FL 32216-4210

Mailing address

3636 University Blvd S Ste A8
Jacksonville, FL 32216-4210
Phone (904) 553-4900

Other practice location 1

15321 S Dixie Hwy Ste 305
Palmetto Bay, FL 33157-1873
Phone (904) 504-0504

Other identifiers 4

IdentifierTypeStateIssuer
015596600MedicaidFL
109727900MedicaidFL
013829200MedicaidFL
013841200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160830002865 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406142405 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL
O20211028000904 FL Part B Supplier - Clinic/Group Practice 6406142405 Receives reassigned benefits from 5 practitioners
Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2130869Desire Health Care, Corp15321 S Dixie Hwy Ste 304, Palmetto Bay, FL 33157Certificate of waiverMay 17, 2027
10D2295474Desire Health Care Corp3636 University Blvd Ste A8, Jacksonville, FL 32216Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Locations

9471 Baymeadows Rd
Ste 107
Jacksonville, FL 32256
Phone (904) 504-0504

3636 University Blvd S
Ste A8
Jacksonville, FL 32216
Phone (904) 553-4900

15321 S Dixie Hwy
Ste 305
Palmetto Bay, FL 33157
Phone (904) 504-0504

15321 S Dixie Hwy
Ste 304
Palmetto Bay, FL 33157
Phone (305) 266-8014

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1215345160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S STE A8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164210",
            "telephone_number": "904-553-4900",
            "fax_number": "866-266-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S STE A8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164210",
            "telephone_number": "904-553-4900",
            "fax_number": "866-266-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15321 S Dixie Hwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571873",
            "country_code": "US",
            "telephone_number": "904-504-0504",
            "fax_number": "866-266-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESIRE HEALTH CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "GEYSEL",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "904-504-0504"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994677",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015596600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109727900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013829200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013841200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.