Active NPI
Vip America of Southwest Florida, LLC
- Attendant Care Provider
- Fort Myers, FL
National Provider Identifier
1104143486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- VIP AMERICA OF SOUTHWEST FLORIDA, LLC
- Practice address
- 14440 Metropolis Ave Ste 103
Fort Myers, FL 33912-4364 - Phone
- (239) 690-9969
- Fax
- (239) 690-9971
- NPI assigned
- Apr 27, 2010
- Organization subpart
- Yes
- Parent organization
- VIP AMERICA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Skipper
- Title
- VP of Operations
- Phone
- (772) 220-6005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
14440 Metropolis Ave Ste 103
Fort Myers, FL 33912-4364
Mailing address
2500 S Kanner Hwy Ste 3
Stuart, FL 34994-4600
Phone (772) 220-6005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114309400 | Medicaid | FL |
National Provider Directory
National Provider Directory- Part of
- Vip America LLC
Locations
14421 Metropolis Ave
Ste 104
Fort Myers, FL 33912
Phone (239) 470-7626
14440 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 690-9969
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Attendant Care Provider
- Stuart, FL
- NPI 1689882334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1104143486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S KANNER HWY STE 3",
"city": "STUART",
"state": "FL",
"postal_code": "349944600",
"telephone_number": "772-220-6005",
"fax_number": "772-220-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14440 METROPOLIS AVE STE 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124364",
"telephone_number": "239-690-9969",
"fax_number": "239-690-9971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP AMERICA OF SOUTHWEST FLORIDA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VIP AMERICA, LLC",
"enumeration_date": "2010-04-27",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "SKIPPER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "772-220-6005"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114309400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.