Organization Active NPI

Vital Care Support Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
National Provider Identifier
1669302485
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
VITAL CARE SUPPORT SERVICES LLC
Practice address
421 W Church St Apt 518
Jacksonville, FL 32202-4144
Phone
(904) 631-2636
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Kiara Carr
Title
Owner
Phone
(904) 631-2636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

421 W Church St Apt 518
Jacksonville, FL 32202-4144

Mailing address

421 W Church St Apt 518
Jacksonville, FL 32202-4144
Phone (904) 631-2636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1669302485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHURCH ST APT 518",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024144",
            "telephone_number": "904-631-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W CHURCH ST APT 518",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024144",
            "telephone_number": "904-631-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-631-2636"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.