Active NPI
Douglas Health Services, LLC
- Nursing Care Agency
- Vero Beach, FL
National Provider Identifier
1013966894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 685218100 | Medicaid | FL |
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.