Provider Demographics
NPI:1932551835
Name:ALL VIP CARE, INC.
Entity Type:Organization
Organization Name:ALL VIP CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:VELAZQUEZ MCKINNON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:561-268-2531
Mailing Address - Street 1:5601 CORPORATE WAY STE 204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2042
Mailing Address - Country:US
Mailing Address - Phone:561-268-2531
Mailing Address - Fax:561-228-0729
Practice Address - Street 1:5601 CORPORATE WAY STE 110
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2041
Practice Address - Country:US
Practice Address - Phone:561-268-2531
Practice Address - Fax:561-228-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211899253Z00000X, 261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018154300Medicaid
FL018175300Medicaid