Organization Active NPI

Hana Care Inc

Doing business as Hana Care Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jacksonville, FL
National Provider Identifier
1912084294
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
PT9594 Issued in FL
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

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Miss Niemat M Issa, OTR/LNPI 1801281878
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.