Organization Active NPI

Veronica's Care, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St Petersburg, FL
National Provider Identifier
1568733574
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
4843-6-GA Issued in FL
Legal business name
VERONICA'S CARE, INC.
Practice address
2867 51St Ave S
Saint Petersburg, FL 33712-4314
Phone
(727) 580-2054
Fax
(727) 864-5945
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Veronica Martin
Title
Owner
Phone
(727) 580-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 4843-6-GA FL Primary

Addresses

Primary practice location

2867 51St Ave S
Saint Petersburg, FL 33712-4314

Mailing address

2867 51St Ave S
Saint Petersburg, FL 33712-4314
Phone (727) 580-2054

Other identifiers 1

IdentifierTypeStateIssuer
678937496MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1568733574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 51ST AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337124314",
            "telephone_number": "727-580-2054",
            "fax_number": "727-864-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 51ST AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337124314",
            "telephone_number": "727-580-2054",
            "fax_number": "727-864-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA'S CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-580-2054"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "4843-6-GA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678937496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "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 Jan 23, 2012; 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.