Vna Space Coast, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299991471 Issued in FL

Legal business name

VNA SPACE COAST, INC.

Practice address

391 Commerce Pkwy Ste 240-260
Rockledge, FL 32955-4209

Phone

(772) 567-5551

Fax

(772) 569-1444

NPI assigned

Jun 30, 2005

Last updated

Jan 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Mary Keville

Title

VP of Clinical Operations

Phone

(772) 538-2504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1811994270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 20TH PL FL 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606420",
            "telephone_number": "772-567-5551",
            "fax_number": "772-569-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 COMMERCE PKWY STE 240-260",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554209",
            "telephone_number": "772-567-5551",
            "fax_number": "772-569-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA SPACE COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "KEVILLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "VP OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "772-538-2504"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "107632",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria A Vines-Wilkinson
• Vitae Health Medical Florida PLLC
• Vitaglide, LLC
• Ovid E Vitas, M.D.
• Vna Space Coast Private Care, Inc
• Jason Vogt, PA
• VS Primo Health Care P a
• Rachel Ann Wade
• Shirlene Wade
• Zandra Wade

• Home Health Agency in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.