IHS Acquisition No 103 Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1164095 Issued in FL

Legal business name

IHS ACQUISITION NO 103 INC

Practice address

1350 S Nova Rd
Daytona Beach, FL 32114-5812

Phone

(386) 258-5544

Fax

(386) 255-5623

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Timothy J Trybus

Title

Cfo

Phone

(443) 539-2354

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Horizon Healthcare Center at Daytona Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Rapid City, SD
  • NPI 1174556757

  Member Of

  NPD member
• Pharmerica Long-Term Care LLC

  • Long Term Care Pharmacy
  • El Paso, TX
  • NPI 1073546651

  Member Of

  NPD member

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1770568917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145812",
            "telephone_number": "386-258-5544",
            "fax_number": "386-255-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145812",
            "telephone_number": "386-258-5544",
            "fax_number": "386-255-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS ACQUISITION NO 103 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "TRYBUS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-539-2354"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1164095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223905",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Healthcare Center at Daytona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• I Am Here for Vets Corporation
• Bianca Christina Iglesias, FNP-BC
• Editha Ignacio
• Serafin Andrade Ignacio, PT
• IHS Acquisition No 103 Inc
• Waleed Ikram, MD
• Patience Imhansiemhonehi
• Independent Phlebotomy Services
• Indigo Dental Inc
• Indigo Palms

• Skilled Nursing Facility in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.