Organization Active NPI

Hibiscus House Rehab, LLC

  • Rehabilitation Clinic/Center
  • Gainesville, FL
National Provider Identifier
1619276482
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OT2757 Issued in FL
Legal business name
HIBISCUS HOUSE REHAB, LLC
Practice address
1338 NW 13TH St
Gainesville, FL 32601-4108
Phone
(352) 224-5004
Fax
(352) 224-5234
NPI assigned
Mar 19, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Aowyn Plants, LMTNPI 1740480797
Title
Business Manager, Owner
Phone
(352) 224-5004

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
Rehabilitation Clinic/Center 261QR0400X OT2757 FL Primary

Addresses

Primary practice location

1338 NW 13TH St
Gainesville, FL 32601-4108

Mailing address

1338 NW 13TH St
Gainesville, FL 32601-4108
Phone (352) 224-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000515 FL Part B Supplier - Clinic/Group Practice 9032396437 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

1338 NW 13th St
Gainesville, FL 32601
Phone (352) 215-0113

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1619276482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014108",
            "telephone_number": "352-224-5004",
            "fax_number": "352-224-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014108",
            "telephone_number": "352-224-5004",
            "fax_number": "352-224-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS HOUSE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-19",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "PLANTS",
        "authorized_official_first_name": "AOWYN",
        "authorized_official_title_or_position": "BUSINESS MANAGER, OWNER",
        "authorized_official_telephone_number": "352-224-5004",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OT2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.