Provider Demographics
NPI:1104829696
Name:VISITING NURSE ASSOCIATION OF FLORIDA INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLAINCE
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SKEES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-419-5524
Mailing Address - Street 1:2400 SE MONTEREY RD
Mailing Address - Street 2:STE 300
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3351
Mailing Address - Country:US
Mailing Address - Phone:772-286-1844
Mailing Address - Fax:772-286-0738
Practice Address - Street 1:2400 SE MONTEREY RD
Practice Address - Street 2:STE 300
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3351
Practice Address - Country:US
Practice Address - Phone:772-286-1844
Practice Address - Fax:772-286-0738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21258096251E00000X
FL21254095251E00000X
FL21984096251E00000X
FL299991370251E00000X
FL299991442251E00000X
FL299991644251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008774500OtherHOME & COMMUNITY BASED SERVICES WAIVER
FL008774500Medicaid
FL008774500OtherHOME COMMUNITY BASED SERVICE WAIVER
FL107609Medicare Oscar/Certification
FL008774500OtherHOME & COMMUNITY BASED SERVICES WAIVER
FL107177Medicare Oscar/Certification