Organization Active NPI

Vijak Inc

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1013124692
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIJAK INC
Practice address
1706 N Highland Ave
Clearwater, FL 33755-2101
Phone
(727) 246-1077
Fax
(727) 442-8110
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Viviane Abaka
Title
Administrator
Phone
(727) 461-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1706 N Highland Ave
Clearwater, FL 33755-2101

Mailing address

1706 N Highland Ave
Clearwater, FL 33755-2101
Phone (727) 246-1077

Other identifiers 1

IdentifierTypeStateIssuer
142327400MedicaidFL

Other names 1

  • Glendale House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1013124692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552101",
            "telephone_number": "727-246-1077",
            "fax_number": "727-442-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552101",
            "telephone_number": "727-246-1077",
            "fax_number": "727-442-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ABAKA",
        "authorized_official_first_name": "VIVIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-461-0774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142327400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.