Organization Active NPI

Vivid Home Care Corp

  • In Home Supportive Care Agency
  • Cape Coral, FL
National Provider Identifier
1790671220
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VIVID HOME CARE CORP
Practice address
2708 Santa Barbara Blvd Ste 120
Cape Coral, FL 33914-4442
Phone
(239) 770-4195
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Mayuli Carmona
Title
Owner
Phone
(239) 770-4195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2708 Santa Barbara Blvd Ste 120
Cape Coral, FL 33914-4442

Mailing address

2608 NW 7TH PL
Cape Coral, FL 33993-8603

Other names 1

  • Synergy Home Care Of South Cape Coral Other name

National Provider Directory

National Provider Directory

Locations

2708 Santa Barbara Blvd
Ste 120
Cape Coral, FL 33914
Phone (239) 770-4195

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1790671220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 NW 7TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339938603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 SANTA BARBARA BLVD STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144442",
            "telephone_number": "239-770-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "MAYULI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-770-4195"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Home Care Of South Cape Coral",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.