Healthcare Provider Details

I. General information

NPI: 1629988829
Provider Name (Legal Business Name): VERAVITA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14200 DUVAL RD APT 221
JACKSONVILLE FL
32218-0203
US

IV. Provider business mailing address

PO BOX 2333
JACKSONVILLE FL
32203-2333
US

V. Phone/Fax

Practice location:
  • Phone: 561-502-7847
  • Fax:
Mailing address:
  • Phone: 561-502-7847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERECE WHITE
Title or Position: FINANCIAL OFFICER
Credential: RN
Phone: 561-502-7847