Monica L. Vickers Associates

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906570 Issued in FL

Legal business name

MONICA L. VICKERS ASSOCIATES

Practice address

2313 Mammoth Grove Rd
Lake Wales, FL 33898-8583

Phone

(863) 206-6439

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Monica L VickersNPI 1407281660

Title

President

Phone

(863) 206-6439

Specialties & licenses 1

Addresses

Other names 1

• Monica L. Vickers Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Vickers

  • Adult Care Home Facility
  • Lake Wales, FL
  • NPI 1407281660
  NPD (past) Authorized official

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1376884437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 MAMMOTH GROVE RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338988583",
            "telephone_number": "863-206-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 MAMMOTH GROVE RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338988583",
            "telephone_number": "863-206-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA L. VICKERS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-206-6439"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monica L. Vickers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elsie Pierce Miller, COTAL
• Mary Miller
• Richard S Miller, OD
• Mobile Tech Imaging LLC
• Mobile X Imaging
• Mary Elizabeth Monticello Powell, APRN
• Shameka Moore
• Matt Moraes, AA
• Morales & Humeres Consultancy LLC
• Anna K Moreau, RN

• Adult Care Home Facility in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.