Provider Demographics
NPI:1710756507
Name:VADOR FAMILY SERVICES SUNCOAST LLC
Entity Type:Organization
Organization Name:VADOR FAMILY SERVICES SUNCOAST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-232-1832
Mailing Address - Street 1:677 N WASHINGTON BLVD STE 14
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4241
Mailing Address - Country:US
Mailing Address - Phone:941-259-8808
Mailing Address - Fax:
Practice Address - Street 1:677 N WASHINGTON BLVD STE 14
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4241
Practice Address - Country:US
Practice Address - Phone:941-259-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care