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SOUTH REHABILITATION CENTER, INC.
NPI 1003273244
Community/Behavioral Health in Jacksonville, FL

Active since January 19, 2016
580 ELLIS RD S, SUITE 118, JACKSONVILLE, FL 32254(904) 423-0017(904) 683-8169 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jan 19, 2016 (2 updates tracked since 2016).

About South Rehabilitation Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH REHABILITATION CENTER, INC. (NPI 1003273244) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since January 2016. The organization lists Dedrix Daka, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003273244
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTH REHABILITATION CENTER, INC.
Location Address580 ELLIS RD S, SUITE 118Jacksonville, FL 32254-3582
Mailing Address580 Ellis Rd S, Suite 118Jacksonville, FL 32254-3582 · (904) 423-0017 · Fax (904) 683-8169
Phone(904) 423-0017
Fax(904) 683-8169
Organization SubpartNo
Authorized OfficialDedrix DakaCeo · (904) 423-0017
Enumeration DateJanuary 19, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003273244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · 1602
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
580 ELLIS RD S, Jacksonville, FL 32254
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE CHERYL BOSH MS, MCAP
Counselor
580 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
MELISSA MORROW LAMB
Counselor
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
MS. JACQUELINE BAKER MH21380
Counselor (Addiction (Substance Use Disorder))
580 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
ROSE MARIE PENA
Marriage & Family Therapist
580 ELLIS RD S, SUITE 118
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
SRC
Community/Behavioral Health
580 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (678) 886-3984
ALEXANDRA JONES MA
Counselor (Mental Health)
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Duval County (904) 423-0017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Rehabilitation Center, Inc.'s NPI number?

The NPI number for South Rehabilitation Center, Inc. is 1003273244. It was assigned to this organization in the NPPES registry on January 19, 2016.

Where is South Rehabilitation Center, Inc. located?

South Rehabilitation Center, Inc. is located at 580 Ellis Rd S Suite 118, Jacksonville, FL 32254. The listed phone number is (904) 423-0017.

What is South Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for South Rehabilitation Center, Inc. was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.