Organization
CHCS NEXUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAUNA R. LAWRENCE RN (ADMINISTRATOR)
(321) 821-7793
Entity
Organization
Contact information
Practice address
305 W HIBISCUS BLVD, MELBOURNE, FL 32901-2720
(321) 821-7793
(321) 821-0847
Mailing address
2903 W NEW HAVEN AVE # 404, WEST MELBOURNE, FL 32904-3661
(321) 821-7793
(321) 821-0847
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NR30211492
AHCA
FL
Enumeration date
04/20/2011
Last updated
01/13/2026
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