Healthcare Provider Details

I. General information

NPI: 1407770142
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: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ASHLEY DR STE 1420A
TAMPA FL
33602-4300
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:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

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