Active NPI
Maria R. Vijil
- In Home Supportive Care Agency
- Dunedin, FL
National Provider Identifier
1124564315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 685783301
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 685783301 | Medicaid | FL |
Other names 1
- Rosie
National Provider Directory
National Provider DirectoryNPI 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.