Active NPI
Bienestar Vitality Healthcare Services
- Developmentally Disabled Services Day Training Agency
- Tamarac, FL
National Provider Identifier
1194519421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BIENESTAR VITALITY HEALTHCARE SERVICES
- Practice address
- 5968 Abbey Rd
Tamarac, FL 33321-4114 - Phone
- (352) 328-2967
- NPI assigned
- Apr 9, 2025
- Last updated
- Apr 9, 2025
- 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
- Racquel Tucker, FNP
- Title
- Director
- Phone
- (352) 328-2967
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NU | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary | |
| Home Health Agency | 251E00000X | NU |
Addresses
Primary practice location
5968 Abbey Rd
Tamarac, FL 33321-4114
Mailing address
5968 Abbey Rd
Tamarac, FL 33321-4114
Phone (352) 328-2967
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Wellington, FL
- NPI 1356807689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1194519421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5968 ABBEY RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214114",
"telephone_number": "352-328-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5968 ABBEY RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214114",
"telephone_number": "352-328-2967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIENESTAR VITALITY HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "RACQUEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "352-328-2967",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
- Marissa Lee Bernard
- Lauren Berrones
- Best Choice Wellness and Aesthetics LLC
- Bhadreshkumar Parikh P a
- Daphnie Vanessa Bharadwa, ARNP
- Billing Service of Florida
- Bio-Behavioral Corp. (Go 2 Help Network)
- Bio-Medical Applications of Florida, Inc. (Tamarac Kidney Center)
- Bird of Paradise Psychological Services PA
- Thomas Bizzarro, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.