1851343826 NPI number — VISION HOME HEALTH CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851343826 NPI number — VISION HOME HEALTH CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISION HOME HEALTH CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851343826
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7177 BROCKTON AVE
Provider Second Line Business Mailing Address:
SUITE 219
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92506-2631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-787-8903
Provider Business Mailing Address Fax Number:
951-787-8904

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7177 BROCKTON AVE
Provider Second Line Business Practice Location Address:
SUITE 219
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92506-2631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-787-8903
Provider Business Practice Location Address Fax Number:
951-787-8904
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NWOKEABIA
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
OKECHUKWU
Authorized Official Title or Position:
PRESIDENT/ CEO
Authorized Official Telephone Number:
951-787-8903

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA08164F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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