Provider Demographics
NPI:1154206381
Name:ONLY VIP CARE LLC
Entity type:Organization
Organization Name:ONLY VIP CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:SANDRA
Authorized Official - Last Name:GONDERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-832-6063
Mailing Address - Street 1:2979 SEA OATS CIR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:32118-5939
Mailing Address - Country:US
Mailing Address - Phone:407-832-6063
Mailing Address - Fax:386-674-0047
Practice Address - Street 1:250 S BEACH ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4431
Practice Address - Country:US
Practice Address - Phone:386-674-0046
Practice Address - Fax:386-674-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care