Healthcare Provider Details

I. General information

NPI: 1770586257
Provider Name (Legal Business Name): VISITING NURSE COMMUNITY CARE OF THE WEST COAST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ASHLEY DR STE 1420
TAMPA FL
33602-4394
US

IV. Provider business mailing address

2400 SE MONTEREY RD STE 300
STUART FL
34996-3351
US

V. Phone/Fax

Practice location:
  • Phone: 813-284-5499
  • Fax: 813-302-5000
Mailing address:
  • Phone: 772-286-1844
  • Fax: 772-403-6248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992079
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992074
License Number StateFL

VIII. Authorized Official

Name: MS. JENNIFER S CROW
Title or Position: CEO
Credential: CEO
Phone: 772-286-1844