Healthcare Provider Details

I. General information

NPI: 1346674421
Provider Name (Legal Business Name): V'S WELLCARE STAFFING AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 NE 167TH ST STE 310
NORTH MIAMI BEACH FL
33162-2441
US

IV. Provider business mailing address

633 NE 167TH ST STE 310
NORTH MIAMI BEACH FL
33162-2441
US

V. Phone/Fax

Practice location:
  • Phone: 305-908-1537
  • Fax:
Mailing address:
  • Phone: 305-908-1537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: VIOLETTE MILLIEN
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 305-908-1537