Organization Active NPI

Maria R. Vijil

  • In Home Supportive Care Agency
  • Dunedin, FL
National Provider Identifier
1124564315
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
685783301 Issued in FL
Legal business name
MARIA R. VIJIL
Practice address
2211 Eisenhower Dr
105
Dunedin, FL 34698-5600
Phone
(727) 495-1124
Fax
(727) 848-8198
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Maria Rosario Vijil, CNA
Title
Provider for Persons With Disabilit
Phone
(727) 495-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 685783301 FL Primary

Addresses

Primary practice location

2211 Eisenhower Dr
105
Dunedin, FL 34698-5600

Mailing address

2211 Eisenhower Dr
105
Dunedin, FL 34698-5600
Phone (727) 495-1124

Other identifiers 1

IdentifierTypeStateIssuer
685783301MedicaidFL

Other names 1

  • Rosie 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": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1124564315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EISENHOWER DR",
            "address_2": "105",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985600",
            "telephone_number": "727-495-1124",
            "fax_number": "727-848-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EISENHOWER DR",
            "address_2": "105",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985600",
            "telephone_number": "727-495-1124",
            "fax_number": "727-848-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA R. VIJIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "VIJIL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "PROVIDER FOR PERSONS WITH DISABILIT",
        "authorized_official_telephone_number": "727-495-1124",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "685783301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685783301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.