Organization Active NPI

Visiting Nurse Association of the Treasure Coast Inc

  • Home Health Agency
  • Vero Beach, FL
National Provider Identifier
1306128798
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING NURSE ASSOCIATION OF THE TREASURE COAST INC
Practice address
958 20TH PL FL 2
Vero Beach, FL 32960-6420
Phone
(772) 567-5551
Fax
(772) 569-1444
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Jacqueline Mary Keville
Title
VP Clinical Operations
Phone
(772) 538-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

958 20TH PL FL 2
Vero Beach, FL 32960-6420

Mailing address

958 20TH PL FL 2
Vero Beach, FL 32960-6420
Phone (772) 567-5551

Other identifiers 1

IdentifierTypeStateIssuer
HC107AOtherFLMEDICARE PTAN MASS IMMUNIZATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130418000447 FL Part B Supplier - Mass Immunization (Roster Biller Only) 1355351602 Practice locations: Vero Beach, FL
O20170504000523 FL Part B Supplier - Clinic/Group Practice 1355351602 Practice locations: Vero Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1005108Visiting Nurse Association of Treasure Coast958 20TH Place 2ND Floor, Vero Beach, FL 32960Certificate of waiverJun 17, 2027
10D2023757Visiting Nurse Association of the Treasure Coast958 20TH Place 2ND Floor, Vero Beach, FL 32960Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

445 24th St
Ste 300
Vero Beach, FL 32960
Phone (772) 567-5551

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Visiting Nurse Association of Indian River County, Inc.Vero Beach, FL, CCN 107134 Home health agency Operational/Managerial Control Feb 2, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1306128798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 20TH PL FL 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606420",
            "telephone_number": "772-567-5551",
            "fax_number": "772-569-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 20TH PL FL 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606420",
            "telephone_number": "772-567-5551",
            "fax_number": "772-569-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF THE TREASURE COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "KEVILLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "VP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "772-538-2504"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN MASS IMMUNIZATION",
            "identifier": "HC107A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.