Organization Active NPI

Vna Hospice of Indian River County, Inc.

  • Community Based Hospice Care Agency
  • Vero Beach, FL
National Provider Identifier
1891792263
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5038096 Issued in FL
Legal business name
VNA HOSPICE OF INDIAN RIVER COUNTY, INC.
Practice address
958 20TH PL FL 2
Vero Beach, FL 32960-6420
Phone
(772) 567-5551
Fax
(772) 569-1444
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5038096 FL Primary

Addresses

Primary practice location

958 20TH PL FL 2
Vero Beach, FL 32960-6420

Mailing address

958 20TH PL FL 2
Vero Beach, FL 32960-6420
Phone (772) 567-5551

Other identifiers 1

IdentifierTypeStateIssuer
101529OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051109001072 FL Part A Provider - Hospice 6103844931 Practice locations: Vero Beach, FL
O20200505002260 FL Part B Supplier - Clinic/Group Practice 6103844931 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

Hospice certification: CCN 101529

Legal name
VNA HOSPICE OF INDIAN RIVER COUNTY, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 23, 1988
Last certification
Dec 28, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Sep 13, 1982 in FL
Enrollment address
958 20TH PL
FL 2
Vero Beach, FL 32960-6420

Care Compare: Hospice

Medicare Care Compare
Listed as
Vna Hospice of Indian River County IncCCN 101529 · All quality measures
Ownership
Non-Profit
Certified
Jun 23, 1988
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0645306Vna Hospice of Indian River County Inc958 20TH Place 2ND Floor, Vero Beach, FL 32960Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

901 37th St
Vero Beach, FL 32960
Phone (772) 567-5551

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lundy S Fields Individual W-2 Managing EmployeeChief Executive Officer May 31, 2018
Jacqueline M Keville Individual Corporate DirectorVice President, Clinical Operations Feb 29, 2024
W-2 Managing EmployeeAd; Dec 17, 2007
Susan Rodgers Individual Corporate Director Jan 1, 2025
Donald E Nickelson Individual Corporate DirectorChairman Jan 13, 2021
Alastair Cathcart Kennedy Individual Corporate Officer Feb 6, 2025
Martha S Schneider Individual Corporate DirectorBoard Member Sep 27, 2012
Michael McGee Individual Corporate Director Jan 1, 2022
Bsrbara Pearce Individual Corporate DirectorTreasurer Jan 13, 2021
Eva Gurley Individual Corporate Officer Jan 1, 2024
Michael Anthony Venazio Individual W-2 Managing EmployeeMD; Jan 1, 2007

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1891792263",
    "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": "958 20TH PL FL 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606420",
            "telephone_number": "772-567-5551",
            "fax_number": "772-569-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA HOSPICE OF INDIAN RIVER COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5038096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "101529",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.