MEDICARE: VISITING NURSE COMMUNITY CARE OF THE WEST COAST, INC.

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
1	251E00000X	Home Health Agency	299992079	FL
2	251E00000X	Home Health Agency	299992074	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

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

Provider Business Mailing Address
First Line	:	2400 SE MONTEREY RD STE 300
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34996-3351
Country	:	US
Telephone Number	:	772-286-1844
Fax Number	:	772-403-6248

Provider Business Practice Location Address
First Line	:	400 N ASHLEY DR STE 1420
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4394
Country	:	US
Telephone Number	:	813-284-5499
Fax Number	:	813-302-5000

Authorized Official
Title or Position	:	CEO
Name	:	MS. JENNIFER S CROW
Credential	:	CEO
Telephone Number	:	772-286-1844

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	09/23/2025

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