Organization Active NPI

Mikav, Inc

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1497427611
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIKAV, INC
Practice address
739 Addison Dr NE
St Petersburg, FL 33716-3441
Phone
(727) 459-2324
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Miladinka Vucic
Title
Administrator
Phone
(727) 459-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

739 Addison Dr NE
St Petersburg, FL 33716-3441

Mailing address

739 Addison Dr NE
St Petersburg, FL 33716-3441
Phone (727) 459-2324

Other identifiers 1

IdentifierTypeStateIssuer
002052300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mikavinc@yahoo.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1497427611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 ADDISON DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163441",
            "telephone_number": "727-459-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 ADDISON DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163441",
            "telephone_number": "727-459-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "VUCIC",
        "authorized_official_first_name": "MILADINKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-459-2324"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002052300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mikavinc@yahoo.com",
            "affiliation": "N",
            "address_1": "739 Addison Dr NE",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337163441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.