Healthcare Provider Details

I. General information

NPI: 1972307072
Provider Name (Legal Business Name): HAPOGY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 RIVER RIDGE DR
ROCKLEDGE FL
32955-2948
US

IV. Provider business mailing address

47 RIVER RIDGE DR
ROCKLEDGE FL
32955-2948
US

V. Phone/Fax

Practice location:
  • Phone: 321-266-3539
  • Fax:
Mailing address:
  • Phone: 321-266-3539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON J ROSENSWEIG
Title or Position: MGRM
Credential:
Phone: 800-906-5194