Provider Demographics
NPI:1265000723
Name:FLORIDA CARE ALF OF VERO BEACH INC
Entity Type:Organization
Organization Name:FLORIDA CARE ALF OF VERO BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:MONDELLI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-461-7435
Mailing Address - Street 1:7432 WILES RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2066
Mailing Address - Country:US
Mailing Address - Phone:954-461-7435
Mailing Address - Fax:
Practice Address - Street 1:1934 22ND AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3084
Practice Address - Country:US
Practice Address - Phone:954-461-7435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1053704965Medicaid