Organization Active NPI

Paulina Vip Care Services, LLC

  • Home Health Agency
  • Stuart, FL
National Provider Identifier
1609563535
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAULINA VIP CARE SERVICES, LLC
Practice address
1320 SE Federal Hwy Ste 109
Stuart, FL 34994-3409
Phone
(772) 789-7776
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Lucas N Gutierrez, N/A
Title
Owner Administrator
Phone
(772) 708-0577

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Respite Care 385H00000X

Addresses

Primary practice location

1320 SE Federal Hwy Ste 109
Stuart, FL 34994-3409

Mailing address

850 NW Federal Hwy Ste 186
Stuart, FL 34994-1019
Phone (772) 789-7776

National Provider Directory

National Provider Directory

Locations

1320 SE Federal Hwy
Ste 109
Stuart, FL 34994
Phone (772) 789-7776

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1609563535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 186",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-789-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SE FEDERAL HWY STE 109",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943409",
            "telephone_number": "772-789-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINA VIP CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "772-708-0577",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.