OrganizationActive
South Rehabilitation Center, Inc.
NPI 1003273244 · Community/Behavioral Health Agency · Jacksonville, FL
Provider details
- NPI number
- 1003273244
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dedrix Daka, Ceo(904) 423-0017
- License
- 1602 (FL)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 Ellis Rd S
Suite 118
Jacksonville, FL 32254-3582
Phone: (904) 423-0017
Fax: (904) 683-8169
Street-level locationGet directions
Mailing address
580 Ellis Rd S
Jacksonville, FL 32254-3582
Registry dates
- Enumerated
- 2016-01-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.