Vidacare Nurse Registry LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VIDACARE NURSE REGISTRY LLC

Practice address

1408 N Killian Dr Ste 113a
Lake Park, FL 33403-1960

Phone

(561) 958-0179

Fax

(561) 834-3190

NPI assigned

Aug 10, 2026

Organization subpart

No

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

Authorized official

Name

Giselle Morales Leyva

Title

Owner

Phone

(561) 958-0179

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1609791706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N KILLIAN DR STE 113A",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031960",
            "telephone_number": "561-958-0179",
            "fax_number": "561-834-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N KILLIAN DR STE 113A",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031960",
            "telephone_number": "561-958-0179",
            "fax_number": "561-834-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDACARE NURSE REGISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MORALES LEYVA",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-958-0179"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30213197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin McFarlin Usry, DC
• Men T Van, RPH
• Dibanni Vasquez, M.D.
• VBDC of Lake Park PLLC (Value Dental Center)
• Victoria ABA Theraphy
• Allyson Rae Villafane, M.A
• Carlos Vivanco, RBT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3348)
• Wal-Mart Stores, Inc.
• White Palms Inc

• In Home Supportive Care Agency in Lake Park, FL
• Providers in Lake Park, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.