Dermagenesis Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DERMAGENESIS HEALTH CARE, INC.

Practice address

365 W 49TH St
Hialeah, FL 33012-3715

Phone

(305) 820-3386

Fax

(305) 820-3388

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Wesley Ryan Jones

Title

Administrator / Owner

Phone

(305) 820-3386

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1992953707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123715",
            "telephone_number": "305-820-3386",
            "fax_number": "305-820-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123715",
            "telephone_number": "305-820-3386",
            "fax_number": "305-820-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAGENESIS HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "305-820-3386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.