Provider Demographics
NPI:1053630541
Name:VISION INSPIRED HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:VISION INSPIRED HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / SUPERVISING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:C
Authorized Official - Last Name:OSUJI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-363-0285
Mailing Address - Street 1:6505 PRESTIGE CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-5104
Mailing Address - Country:US
Mailing Address - Phone:972-412-9891
Mailing Address - Fax:972-412-3547
Practice Address - Street 1:6505 PRESTIGE CT
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-5104
Practice Address - Country:US
Practice Address - Phone:972-412-9891
Practice Address - Fax:972-412-3547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility