Provider Demographics
NPI:1245792274
Name:FRANCE, VIVIANE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:VIVIANE
Middle Name:
Last Name:FRANCE
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6461 JAMAICA RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4120
Mailing Address - Country:US
Mailing Address - Phone:954-549-5527
Mailing Address - Fax:
Practice Address - Street 1:6461 JAMAICA RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4120
Practice Address - Country:US
Practice Address - Phone:954-549-5527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 171M00000X, 253Z00000X, 315D00000X, 372600000X
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No253Z00000XAgenciesIn Home Supportive Care
No315D00000XNursing & Custodial Care FacilitiesHospice, InpatientGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult Companion