Organization Active NPI

Douglas Health Services, LLC

  • Nursing Care Agency
  • Vero Beach, FL
National Provider Identifier
1013966894
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
DOUGLAS HEALTH SERVICES, LLC
Practice address
2803 Flight Safety Dr
Vero Beach, FL 32960-7911
Phone
(772) 770-0022
Fax
(772) 770-4434
NPI assigned
May 9, 2006
Organization subpart
Yes
Parent organization
DOUGLAS HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Ms. Anne Marie Douglas, RN
Title
Owner/Administrator
Phone
(772) 770-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2803 Flight Safety Dr
Vero Beach, FL 32960-7911

Mailing address

2803 Flight Safety Dr
Vero Beach, FL 32960-7911
Phone (772) 770-0022

Other identifiers 1

IdentifierTypeStateIssuer
685218100MedicaidFL

National Provider Directory

National Provider Directory
Part of
Douglas Health Services LLC

Locations

2803 Flight Safety Dr
Vero Beach, FL 32960
Phone (772) 770-0022

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1013966894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 FLIGHT SAFETY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607911",
            "telephone_number": "772-770-0022",
            "fax_number": "772-770-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 FLIGHT SAFETY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607911",
            "telephone_number": "772-770-0022",
            "fax_number": "772-770-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS HEALTH SERVICES, LLC",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-770-0022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685218100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.