Healthcare Provider Details

I. General information

NPI: 1659286151
Provider Name (Legal Business Name): JACOB RASKAS HOFHEIMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 BREVARD RD
ASHEVILLE NC
28806-2945
US

IV. Provider business mailing address

768 GARREN CREEK RD
FAIRVIEW NC
28730-7610
US

V. Phone/Fax

Practice location:
  • Phone: 305-466-9988
  • Fax:
Mailing address:
  • Phone: 323-708-9176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number5025227
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: