NPIMap

Organization Active NPI

Suncoast Vital Care Inc

  • Home Infusion Therapy Pharmacy
  • Brooksville, FL
National Provider Identifier
1275554040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PH 11906 Issued in FL
Legal business name
SUNCOAST VITAL CARE INC
Doing business as
Suncoast Vital Care
Practice address
277 W Jefferson St
Brooksville, FL 34601-2524
Phone
(352) 796-1222
Fax
(352) 796-0017
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Monteen Vitola
Title
Partner
Phone
(352) 796-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X PH 11906 FL Primary

Addresses

Primary practice location

277 W Jefferson St
Brooksville, FL 34601-2524

Mailing address

PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095

Other identifiers 1

IdentifierTypeStateIssuer
P6348OtherFLBCBS

Other names 1

  • Suncoast Vital Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Vital Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275554040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047",
            "telephone_number": "800-447-4095",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012524",
            "telephone_number": "352-796-1222",
            "fax_number": "352-796-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST VITAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITOLA",
        "authorized_official_first_name": "MONTEEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "352-796-1222"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH 11906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P6348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.