Provider Demographics
NPI:1114995610
Name:VISION OF MINORITY WOMEN, LLC
Entity Type:Organization
Organization Name:VISION OF MINORITY WOMEN, LLC
Other - Org Name:BEST HOME CARE OF INDIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-920-7144
Mailing Address - Street 1:3520 GUION RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-1692
Mailing Address - Country:US
Mailing Address - Phone:317-920-7144
Mailing Address - Fax:317-920-7142
Practice Address - Street 1:3520 GUION RD
Practice Address - Street 2:SUITE 308
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-1692
Practice Address - Country:US
Practice Address - Phone:317-920-7144
Practice Address - Fax:317-920-7142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN003433251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157546Medicare ID - Type Unspecified