Organization Active NPI

VH and Wellness, LLC

  • Clinic/Center
  • Lake Wales, FL
National Provider Identifier
1184417958
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VH AND WELLNESS, LLC
Practice address
2505 State Road 60 E
Lake Wales, FL 33898-5124
Phone
(813) 291-3315
Fax
(863) 509-6115
NPI assigned
May 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Authorized official

Name
Anabel Karine Rivero, APRNNPI 1669002549
Title
Officer
Phone
(786) 217-3377

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2505 State Road 60 E
Lake Wales, FL 33898-5124

Mailing address

2412 Charley Rd
Eagle Lake, FL 33839-5629
Phone (813) 291-3315

Other names 1

  • Vida Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819000395 FL Part B Supplier - Clinic/Group Practice 7012416886 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Wales, FL

National Provider Directory

National Provider Directory

Locations

2505 State Road 60 E
Lake Wales, FL 33898
Phone (813) 291-3315

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": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1184417958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 CHARLEY RD",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395629",
            "telephone_number": "813-291-3315",
            "fax_number": "863-509-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338985124",
            "telephone_number": "813-291-3315",
            "fax_number": "863-509-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_middle_name": "KARINE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "786-217-3377",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.