VNA SPACE COAST PRIVATE CARE, INC (NPI# 1396356119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396356119 |
| Entity Type | Organization |
| Organization Name | VNA SPACE COAST PRIVATE CARE, INC |
| Practice Address |
1600 Sarno Rd Ste 201 Melbourne FL 32935-4990 |
| Mailing Address |
1110 35th Ln Vero Beach FL 32960-6596 |
| Practice Telephone | 3217527550 |
| Practice Fax Number | 3214173394 |
| Mailing Telephone | 7729785585 |
| Mailing Fax Number | 7729785509 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | MR. DANIEL BACH (CFO) |
| Authorized Official Telephone | 7729785550 |
| Is Organization Subpart | Y |
| Parent Organization Name | VISITING NURSE ASSOCIATION OF THE TREASURE COAST INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1600 SARNO RD STE 201 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-4990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366181 | Julia Nicholson | Home Health | 1308 Baker Dr, Melbourne, FL 32901-8002 | 2020-08-14 |
| 1184183022 | Ajl Nursing Services, LLC | Home Health | 924 Garfield St, Melbourne, FL 32935-4065 | 2019-03-19 |
| 1619493285 | Grayson Hausman | Home Health | 3270 Suntree Blvd Ste 102d, Melbourne, FL 32940-7540 | 2017-08-16 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1609228717 | Kah Development 4, LLC | Home Health | 14 Arnold Springs Rd, Suite C, Melbourne, AR 72556-8248 | 2016-07-13 |
| 1447611173 | Dynamiks Home Care Inc | Home Health | 4501 N Wickham Rd Ste 104, Melbourne, FL 32935-7100 | 2016-03-08 |
| 1942608237 | Cshha North Florida, LLC | Home Health | 1370 Sarno Road, Suite C, Melbourne, FL 32935 | 2014-12-18 |
| 1073921284 | Oahu Home Care LLC | Home Health | 2401 W Eau Gallie Blvd Ste 6, Melbourne, FL 32935-2765 | 2014-07-31 |
| 1881012102 | Family Private Care Inc | Home Health | 635 S Wickham Rd Ste 202, Melbourne, FL 32904-1436 | 2014-04-03 |
| 1831433564 | Jjl Healthcare Services | Home Health | 2010 W. Eau Gallie Blvd., Suite 101, Melbourne, FL 32935-3114 | 2012-11-19 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.