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NPI Code Detail

MEDICARE: VOP JENSEN BEACH, LLC

MEDICARE: VOP JENSEN BEACH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1134018351
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOP JENSEN BEACH, LLC
Provider Business Mailing Address
First Line : 1700 NE INDIAN RIVER DR
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5853
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 NE INDIAN RIVER DR
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5853
Country : US
Telephone Number : 772-225-1355
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTIAN N. CUMMINGS
Credential :
Telephone Number : 312-660-3800
Provider Enumeration Date : 07/01/2025
Last Update Date : 02/18/2026

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Directions to “VOP JENSEN BEACH, LLC ” Practice Location

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