Organization Active NPI

Vital Senior Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1639797087
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITAL SENIOR CARE INC
Practice address
2700 W Cypress Creek Rd Ste B104
Ft Lauderdale, FL 33309-1718
Phone
(954) 647-7608
NPI assigned
Jul 13, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Michelle Barrera
Title
Owner
Phone
(754) 220-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd Ste B104
Ft Lauderdale, FL 33309-1718

Mailing address

2700 W Cypress Creek Rd Ste B104
Ft Lauderdale, FL 33309-1718
Phone (954) 647-7608

National Provider Directory

National Provider Directory

Locations

2700 W Cypress Creek Rd
Ste B104
Ft Lauderdale, FL 33309
Phone (954) 647-7608

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1639797087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE B104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091718",
            "telephone_number": "954-647-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE B104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091718",
            "telephone_number": "954-647-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-220-6494"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.