Vida Community Care Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

VIDA COMMUNITY CARE INC

Practice address

1926 10TH Ave N Ste 107
Lake Worth Beach, FL 33461-3300

Phone

(561) 227-8844

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Maria Quintana

Title

Owner/Ceo

Phone

(561) 227-8844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maria Quintana Blanco, CBHCMS

  • Case Manager/Care Coordinator
  • Lake Worth, FL
  • NPI 1508128752
  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1992399380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 GARDEN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053516",
            "telephone_number": "786-515-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N STE 107",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334613300",
            "telephone_number": "561-227-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "561-227-8844"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Detox Lake Worth Beach FL, LLC
• Carlos Toribio Avila
• Amanda Valdes Rodriguez
• Maydenis Valentin Martinez
• Alina Margarita Velis Barroso, RBT
• Ramon Villega Osorio
• David Ray Walsworth
• Well Living Group LLC
• Car'Veija Laqueata Williams

• Case Management Agency in Lake Worth Beach, FL
• Providers in Lake Worth Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.