Organization Active NPI

Vida Feliz Care Agency LLC

Doing business as Vida Feliz Care Agency

  • In Home Supportive Care Agency
  • Sierra Vista, AZ
National Provider Identifier
1104407386
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VIDA FELIZ CARE AGENCY LLC
Doing business as
Vida Feliz Care Agency
Practice address
2401 Meadowlark Dr
Sierra Vista, AZ 85635-3457
Phone
(520) 678-0706
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Theresa Lanika Malone, RNNPI 1679458772
Title
Administrator
Phone
(520) 678-1734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2401 Meadowlark Dr
Sierra Vista, AZ 85635-3457

Mailing address

PO Box 1356
Sierra Vista, AZ 85636-1356

Other names 1

  • Vida Feliz Care Agency Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1104407386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1356",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856361356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MEADOWLARK DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353457",
            "telephone_number": "520-678-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA FELIZ CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LANIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-678-1734",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Feliz Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.