MRS. MONICA VICKERS NPI 1407281660

NPI Information

  • NPI: 1407281660
  • Provider Name: MRS. MONICA VICKERS
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Individual
  • Address: 2313 MAMMOTH GROVE RD
    LAKE WALES, FL
    ZIP 33898
  • Phone: (863) 206-6439

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NPI Details

MRS. Monica Vickers is an adult care home custodial care facility in Lake Wales, FL. The provider is 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. MRS. Monica Vickers NPI is 1407281660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2313 MAMMOTH GROVE RD
LAKE WALES, FL
ZIP 33898-583
Phone: (863) 206-6439

The enumeration date for this NPI number is 9/6/2013 and was last updated on 9/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home6906570FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1006792400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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