Provider Demographics
NPI:1194371492
Name:VISTA CARE INC.
Entity Type:Organization
Organization Name:VISTA CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-293-5900
Mailing Address - Street 1:1645 DOWNTOWN WEST BLVD UNIT 34
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5411
Mailing Address - Country:US
Mailing Address - Phone:865-293-5900
Mailing Address - Fax:865-293-5903
Practice Address - Street 1:1645 DOWNTOWN WEST BLVD UNIT 34
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5411
Practice Address - Country:US
Practice Address - Phone:865-293-5900
Practice Address - Fax:865-293-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1000000024135OtherPERSONAL SUPPORT SERVICES AGENCY