MRS. VERA RENITA MATHIS
NPI 1568897700
Custodial Care Facility - Adult Care Home in Haines City, FL

Active since September 06, 2013
331 THOMASDALE AVE, HAINES CITY, FL 33844(863) 242-1261 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Vera Renita Mathis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. VERA RENITA MATHIS (NPI 1568897700) is an individual adult care home provider in Haines City, Florida, licensed in Florida (6906328) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1568897700
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMRS. VERA RENITA MATHIS
Location Address331 THOMASDALE AVEHaines City, FL 33844-6381
Mailing Address331 Thomasdale AveHaines City, FL 33844-6381 · (863) 242-1261
Sole ProprietorYes
Enumeration DateSeptember 6, 2013
NPI 1568897700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6906328
Definition
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.
331 THOMASDALE AVE, Haines City, FL 33844

Other Identifiers 1

Medicaid002740700FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vera Mathis's NPI number?

The NPI number for Vera Mathis is 1568897700. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Vera Mathis located?

Vera Mathis practices at 331 Thomasdale Ave, Haines City, FL 33844. The listed phone number is (863) 242-1261.

What is Vera Mathis's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Vera Mathis was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.