Shaneada Vancol

LBN: Shanedas Time To Care Llc
Shaneada Vancol is an health care organization with primary practice located at 6233 Nw Gisela St , Port Saint Lucie FL 34986-3866. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Shanedas Time To Care Llc can be contacted via phone (772) 777-9827, or through Vancol, Shaneada via phone (772) 501-6619.

Contact Information

Primary practice address
6233 Nw Gisela St Port Saint Lucie FL 34986-3866
Phone: (772) 777-9827
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vancol, Shaneada
Phone: (772) 501-6619

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1336651207
LBN Legal business name Shanedas Time To Care Llc
DBA Doing business as Shaneada Vancol
Authorized official Vancol, Shaneada
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2017
Last updated Jul 12th, 2024 - about 2 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336651207 NPPES
Florida MEDICAID 022855600

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