Active NPI
Veteran Nursing Agency LLC
- Home Health Agency
- Wellington, FL
National Provider Identifier
1144525650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VETERAN NURSING AGENCY LLC
- Practice address
- 12230 Forest Hill Blvd
Ste. 208
Wellington, FL 33414-5700 - Phone
- (561) 227-1549
- NPI assigned
- Jan 13, 2011
- 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
- Dr. Tiffany N. McCalla, MD
- Title
- Medical Director
- Phone
- (954) 592-4961
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D00063078 | MD | |
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12230 Forest Hill Blvd
Ste. 208
Wellington, FL 33414-5700
Mailing address
12230 Forest Hill Blvd
Ste. 208
Wellington, FL 33414-5700
Phone (561) 227-1549
Other names 1
- Admiralty Home Health Care
National Provider Directory
National Provider DirectoryLocations
12161 Ken Adams Way
Ste 208
Wellington, FL 33414
Phone (561) 227-1549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387756800000",
"number": "1144525650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 FOREST HILL BLVD",
"address_2": "STE. 208",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145700",
"telephone_number": "561-227-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 FOREST HILL BLVD",
"address_2": "STE. 208",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145700",
"telephone_number": "561-227-1549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERAN NURSING AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-13",
"last_updated": "2013-12-23",
"status": "A",
"authorized_official_last_name": "MCCALLA",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-592-4961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D00063078",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Admiralty Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.