Organization Active NPI

Hanasa Nursing LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1477296580
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HANASA NURSING LLC
Practice address
1331 Palmdale St
Jacksonville, FL 32208-3158
Phone
(904) 993-8863
NPI assigned
Apr 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Kuriyetu Aisha Salau, RNNPI 1467117291
Title
Owner
Phone
(904) 993-8863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1331 Palmdale St
Jacksonville, FL 32208-3158

Mailing address

1331 Palmdale St
Jacksonville, FL 32208-3158
Phone (904) 993-8863

National Provider Directory

National Provider Directory

Locations

1331 Palmdale St
Jacksonville, FL 32208
Phone (904) 608-1245

Practitioners & affiliated clinicians

Practitioners 1

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": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1477296580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 PALMDALE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083158",
            "telephone_number": "904-993-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 PALMDALE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083158",
            "telephone_number": "904-993-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANASA NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-16",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "SALAU",
        "authorized_official_first_name": "KURIYETU",
        "authorized_official_middle_name": "AISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-993-8863",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 27, 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.