NPIMap

Organization Active NPI

Vidawell Care LLC

  • Behavior Analyst
  • Hollywood, FL
National Provider Identifier
1699622209
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VIDAWELL CARE LLC
Practice address
1911 Harrison St Ste 8
Hollywood, FL 33020-5017
Phone
(786) 670-0011
NPI assigned
Mar 12, 2026
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Mayara Ortiz FernandezNPI 1891368197
Title
Ceo
Phone
(786) 670-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1911 Harrison St Ste 8
Hollywood, FL 33020-5017

Mailing address

1911 Harrison St Ste 8
Hollywood, FL 33020-5017
Phone (786) 670-0011

National Provider Directory

National Provider Directory
Tax ID family
Vidawell Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1699622209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 HARRISON ST STE 8",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205017",
            "telephone_number": "786-670-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HARRISON ST STE 8",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205017",
            "telephone_number": "786-670-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAWELL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "ORTIZ FERNANDEZ",
        "authorized_official_first_name": "MAYARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-670-0011"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

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