NPIMap

Organization Active NPI

Visiting Nurse Association of Indian River County, Inc.

  • Home Health Agency
  • Vero Beach, FL
National Provider Identifier
1306843768
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA21276095 Issued in FL
Legal business name
VISITING NURSE ASSOCIATION OF INDIAN RIVER COUNTY, INC.
Practice address
958 20TH PL FL 2
Vero Beach, FL 32960-6420
Phone
(772) 567-5551
Fax
(772) 569-1444
NPI assigned
Jun 30, 2005
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA21276095 FL 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 2

IdentifierTypeStateIssuer
HHA21276095OtherFLLICENSE
107134OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070518000327 FL Part A Provider - Home Health Agency 6507963972 Practice locations: Vero Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306843768. Details of each certification follow.

Home health agency certification: CCN 107134

Legal name
VISITING NURSE ASSOCIATION OF INDIAN RIVER COUNTY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 1, 1975
Last certification
Nov 28, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 28, 1975 in FL
Enrollment address
958 20TH Place
Second Floor
Vero Beach, FL 32960-6420
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Visiting Nurse Association of Indian River County IncCCN 107134 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Dec 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D0645305Visiting Nurse Association of Indian River County958 20TH Place 2ND Floor, Vero Beach, FL 32960Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1331 N Central Ave
Sebastian, FL 32958
Phone (772) 567-5551

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Visiting Nurse Association of the Treasure Coast Inc Organization, Vero Beach, FL Non-profit Operational/Managerial Control Feb 2, 2012
Lundy S Fields Individual W-2 Managing EmployeePresident/Ceo Apr 30, 2018
Jack Weisbaum Individual Corporate OfficerTreasurer Jan 31, 2022
Jacqueline M Keville Individual Corporate DirectorVice President, Clinical Operati Feb 29, 2024
W-2 Managing EmployeeVP of Home Health and Private Dec 17, 2007
Susan Rodgers Individual Corporate OfficerVice Chair Jan 1, 2024
William Stewart Individual Corporate Officer Jun 1, 2024
Chester B Kaletkowski Individual Corporate Officer Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 99

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1306843768",
    "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 INDIAN RIVER COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "KEVILLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "VP OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "772-538-2504"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21276095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "HHA21276095",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "107134",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.