Vidawell Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VIDAWELL CARE LLC

Doing business as

Vidawell Care Broward

Practice address

1911 Harrison St Ste 8
Hollywood, FL 33020-5017

Phone

(305) 395-3561

Fax

(305) 230-7990

NPI assigned

Aug 27, 2026

Organization subpart

No

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

Authorized official

Name

Mayara Ortiz Fernandez

Title

Owner

Phone

(786) 670-0011

Specialties & licenses 1

Addresses

Other names 1

• VIDAWELL CARE BROWARD Doing business as

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1386551844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD STE 202-12",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891224",
            "telephone_number": "305-395-3561",
            "fax_number": "305-230-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HARRISON ST STE 8",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205017",
            "telephone_number": "305-395-3561",
            "fax_number": "305-230-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAWELL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ FERNANDEZ",
        "authorized_official_first_name": "MAYARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-670-0011"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDAWELL CARE BROWARD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.