Organization Active NPI

Veteran Nursing Agency LLC

  • Home Health Agency
  • Wellington, FL
National Provider Identifier
1144525650
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 23, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.