Organization Active NPI

Prism Health Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1699183350
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313910 Issued in FL
Legal business name
PRISM HEALTH SERVICES, LLC
Practice address
6971 Business Park Blvd N
Jacksonville, FL 32256-2777
Phone
(904) 880-9900
Fax
(904) 880-3241
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Miss Prachi B Rathi, MHA, OTR/L, LMT, CAPNPI 1740073337
Title
President
Phone
(904) 880-9900

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
Durable Medical Equipment & Medical Supplies 332B00000X 1313910 FL Primary

Addresses

Primary practice location

6971 Business Park Blvd N
Jacksonville, FL 32256-2777

Mailing address

6971 Business Park Blvd N
Jacksonville, FL 32256-2777
Phone (904) 880-9900

National Provider Directory

National Provider Directory

Locations

6971 Business Park Blvd N
Jacksonville, FL 32256
Phone (904) 880-9900

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": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1699183350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6971 BUSINESS PARK BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562777",
            "telephone_number": "904-880-9900",
            "fax_number": "904-880-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 BUSINESS PARK BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562777",
            "telephone_number": "904-880-9900",
            "fax_number": "904-880-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "RATHI",
        "authorized_official_first_name": "PRACHI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-880-9900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MHA, OTR/L, LMT, CAP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313910",
            "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 Sep 14, 2023; 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.