Vip America of Central Florida, LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

VIP AMERICA OF CENTRAL FLORIDA, LLC

Practice address

1507 Riverview Dr
Melbourne, FL 32901-4625

Phone

(321) 541-1248

Fax

(321) 541-1249

NPI assigned

Feb 20, 2014

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Skipper

Title

VP of Operations

Phone

(772) 220-6005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1285059725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY STE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600",
            "telephone_number": "772-220-6005",
            "fax_number": "772-220-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERVIEW DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014625",
            "telephone_number": "321-541-1248",
            "fax_number": "321-541-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP AMERICA OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "772-220-6005"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115748000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Melbourne, FL
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• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.