Provider Demographics
NPI:1003404443
Name:NUVISION HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:NUVISION HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FLEMISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-732-2486
Mailing Address - Street 1:6248 LAKELAND AVE N STE 208
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-2989
Mailing Address - Country:US
Mailing Address - Phone:763-301-0655
Mailing Address - Fax:
Practice Address - Street 1:4568 ZENITH AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1448
Practice Address - Country:US
Practice Address - Phone:763-301-0655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health