Active NPI
Hana Care Inc
Doing business as Hana Care Rehab
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- PT9594
- Legal business name
- HANA CARE INC
- Doing business as
- Hana Care Rehab
- Practice address
- 1771 Edgewood Ave W
Suite 6B
Jacksonville, FL 32208-3278 - Phone
- (904) 768-9966
- Fax
- (904) 765-1655
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Niemat M Issa, OTR/L
- Title
- Ceo
- Phone
- (904) 768-9966
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | OT6568 | FL | |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | PT9594 | FL | Primary |
Addresses
Primary practice location
1771 Edgewood Ave W
Suite 6B
Jacksonville, FL 32208-3278
Mailing address
1771 Edgewood Ave W
Suite 6B
Jacksonville, FL 32208-3278
Phone (904) 768-9966
Other names 1
- Hana Care Rehab
National Provider Directory
National Provider DirectoryLocations
8075 Gate Pkwy W
Ste 104
Jacksonville, FL 32216
Phone (904) 296-2613
9551 Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 367-8664
1771 Edgewood Ave W
Ste 6
Jacksonville, FL 32208
Phone (904) 768-9966
9551 Baymeadows Rd
Ste 16
Jacksonville, FL 32256
Phone (904) 367-8664
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Jacksonville, FL
- NPI 1801281878
-
- Physical Therapist
- Jacksonville, FL
- NPI 1063790012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499212800000",
"number": "1912084294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 EDGEWOOD AVE W",
"address_2": "SUITE 6B",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322083278",
"telephone_number": "904-768-9966",
"fax_number": "904-367-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 EDGEWOOD AVE W",
"address_2": "SUITE 6B",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322083278",
"telephone_number": "904-768-9966",
"fax_number": "904-765-1655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2017-07-05",
"status": "A",
"authorized_official_last_name": "ISSA",
"authorized_official_first_name": "NIEMAT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-768-9966",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "FL",
"license": "OT6568",
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "FL",
"license": "PT9594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hana Care Rehab",
"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 Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.