Merritt Island Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1349096 Issued in FL

Legal business name

MERRITT ISLAND HEALTH CARE ASSOCIATES LLC

Practice address

125 Alma Blvd
Merritt Island, FL 32953-4345

Phone

(321) 453-0202

Fax

(321) 453-0323

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Derek S. Ganary

Title

Manager

Phone

(321) 453-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Island Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1821044488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALMA BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534345",
            "telephone_number": "321-453-0202",
            "fax_number": "321-453-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALMA BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534345",
            "telephone_number": "321-453-0202",
            "fax_number": "321-453-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT ISLAND HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "GANARY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-453-0202"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1349096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025235200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Andrew Merriam, PA-S
• Merritt Island ASC LLC
• Merritt Island Chiropractic, LLC
• Merritt Island Conscious Sedation
• Merritt Island Foot & Ankle Inc
• Merritt Island Outpatient Surgery Center, LLC
• Merritt Island Pharmacy
• Merritt Island Pharmacy
• Merritt Island Rehab LLC
• Merritt Island RHF Housing, Inc

• Skilled Nursing Facility in Merritt Island, FL
• Providers in Merritt Island, 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 Aug 2, 2012; 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.