Provider Demographics
NPI:1578820429
Name:VMOREL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:VMOREL HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VENECIA
Authorized Official - Middle Name:ESTELA
Authorized Official - Last Name:MOREL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:863-537-0848
Mailing Address - Street 1:308 SOUTH HARBOR CITY BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-1500
Mailing Address - Country:US
Mailing Address - Phone:863-537-0848
Mailing Address - Fax:321-733-7970
Practice Address - Street 1:308 SOUTH HARBOR CITY BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1500
Practice Address - Country:US
Practice Address - Phone:863-537-0848
Practice Address - Fax:321-733-7970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9175866251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care