Organization Active NPI

MF Debary LLC

  • Skilled Nursing Facility
  • Debary, FL
National Provider Identifier
1487813382
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MF DEBARY LLC
Doing business as
Debary Health and Rehabilitation Center
Practice address
60 N. Highway 17-92
Debary, FL 32713-2513
Phone
(386) 668-4426
NPI assigned
Jun 5, 2008
Organization subpart
Yes
Parent organization
FLORIDA FACILITIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
James Richardson
Title
President
Phone
(850) 430-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

60 N. Highway 17-92
Debary, FL 32713-2513

Mailing address

40 South Palafox Place
Suite 400
Pensacola, FL 32502-5697

Other names 1

  • Debary Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1487813382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH PALAFOX PLACE",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N. HIGHWAY 17-92",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132513",
            "telephone_number": "386-668-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MF DEBARY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES, LLC",
        "enumeration_date": "2008-06-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debary Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.