Active NPI
Paulina Vip Care Services, LLC
- Home Health Agency
- Stuart, FL
National Provider Identifier
1609563535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.