Organization Active NPI

Vergara Services LLC

  • In Home Supportive Care Agency
  • West Palm Beach, FL
National Provider Identifier
1124850433
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VERGARA SERVICES LLC
Doing business as
Acti-Kare In Home Responsive Care
Practice address
515 N Flagler Dr Ste P300
West Palm Beach, FL 33401-4326
Phone
(561) 990-5830
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Micheal VergaraNPI 1174275184
Title
President
Phone
(561) 990-5830

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

515 N Flagler Dr Ste P300
West Palm Beach, FL 33401-4326

Mailing address

1641 Lindley St
Mangonia Park, FL 33407-2123
Phone (561) 990-5830

Other identifiers 1

IdentifierTypeStateIssuer
299995444OtherFLAGENCY LICENSE

Other names 1

  • Acti-Kare In Home Responsive Care 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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1124850433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 LINDLEY ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072123",
            "telephone_number": "561-990-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N FLAGLER DR STE P300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014326",
            "telephone_number": "561-990-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERGARA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-990-5830"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY LICENSE",
            "identifier": "299995444",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare In Home Responsive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.