Organization Active NPI

Bienestar Vitality Healthcare Services

  • Developmentally Disabled Services Day Training Agency
  • Tamarac, FL
National Provider Identifier
1194519421
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Racquel Tucker, FNPNPI 1356807689
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)CodeLicenseStatePrimary
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 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, and the practitioner matching its NPPES authorized official.

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

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.

Verify at the official NPI Registry.