Provider Demographics
NPI:1306128798
Name:VISITING NURSE ASSOCIATION OF THE TREASURE COAST INC
Entity type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF THE TREASURE COAST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:KEVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-538-2504
Mailing Address - Street 1:958 20TH PL FL 2
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6420
Mailing Address - Country:US
Mailing Address - Phone:772-567-5551
Mailing Address - Fax:772-569-1444
Practice Address - Street 1:958 20TH PL FL 2
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6420
Practice Address - Country:US
Practice Address - Phone:772-567-5551
Practice Address - Fax:772-569-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHC107AOtherMEDICARE PTAN MASS IMMUNIZATION