Organization Active NPI

Derash Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1770716037
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DERASH INC
Practice address
13453 N Main St
Suite 306
Jacksonville, FL 32218-2710
Phone
(904) 757-4688
Fax
(904) 757-5688
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Rafik Bouaziz
Title
Director
Phone
(904) 334-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

13453 N Main St
Suite 306
Jacksonville, FL 32218-2710

Mailing address

1459 Lake Baldwin LN
Suite a
Orlando, FL 32814-6741
Phone (407) 893-3905

Other names 1

  • INTEGRITY HOME HEALTH CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Derash Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13453 N Main St
Ste 306
Jacksonville, FL 32218
Phone (904) 564-2020

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1770716037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 LAKE BALDWIN LN",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146741",
            "telephone_number": "407-893-3905",
            "fax_number": "407-893-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13453 N MAIN ST",
            "address_2": "SUITE 306",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182710",
            "telephone_number": "904-757-4688",
            "fax_number": "904-757-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERASH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "BOUAZIZ",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-334-0305"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRITY HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2009; 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.