MRS. MONICA VICKERS (NPI# 1407281660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407281660 |
| Entity Type | Individual |
| Full Name | MRS. MONICA VICKERS |
| Practice Address |
2313 Mammoth Grove Rd Lake Wales FL 33898-8583 |
| Practice Telephone | 8632066439 |
| Mailing Telephone | 8632066439 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906570 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006792400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831383397 | Monica Marie Vickers | Massage Therapist | 211 West Hill Street, Monroe, WA 98272 | 2007-08-28 |
| 1316007099 | Monica Mary Vickers | Physical Therapy Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2006-12-11 |
| Street Address |
2313 MAMMOTH GROVE RD |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33898-8583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376884437 | Monica L. Vickers Associates | Custodial Care Facility | 2313 Mammoth Grove Rd, Lake Wales, FL 33898-8583 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457380974 | Maurice Anthony Ramirez | Emergency Medicine | 4800 Ben Hill Trail, Lake Wales, FL 33898 | 2006-06-30 |
| 1609433507 | Temple Legacy Counseling, LLC | Social Worker | 5137 N Scenic Hwy Lot 44, Lake Wales, FL 33898-1900 | 2019-05-26 |
| 1083045819 | Wendy Warman | Speech-Language Pathologist | 2803 Club Cir, Lake Wales, FL 33898-4702 | 2013-12-04 |
| 1285650648 | Rehab Frontier, LLC | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1770694333 | Lorinda C Grajo | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-08-31 |
| 1780600155 | Lowell S Liwanag | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1912923384 | Gladys S Quizon | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1437175809 | Sherly P Geonzon | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1255497046 | Mckeon Chiropractic Clinic Pa | Chiropractor | 2433 Stateroad 60 East, Lake Wales, FL 33898-5122 | 2006-12-28 |
| 1649216714 | Mark John Mckeon | Chiropractor | 2433 State Road 60 E, Lake Wales, FL 33898-5122 | 2006-06-20 |
| Find all providers in zip 33898 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669871083 | Adult Family Care Home | Custodial Care Facility | 309 N Wetmore St, Lake Wales, FL 33853-4057 | 2014-08-21 |
| 1376884437 | Monica L. Vickers Associates | Custodial Care Facility | 2313 Mammoth Grove Rd, Lake Wales, FL 33898-8583 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33898 |
Please comment or provide details below to improve the information on MRS. MONICA VICKERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.