Provider Demographics
NPI:1235137761
Name:VISIONS HOME HEALTH & VISIONS HOME CARE, LLC
Entity Type:Organization
Organization Name:VISIONS HOME HEALTH & VISIONS HOME CARE, LLC
Other - Org Name:VISIONS HOME HEALTH AND HOME CARE OPTIONS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:SPIERS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:208-732-5365
Mailing Address - Street 1:455 PARK VIEW LOOP E
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3393
Mailing Address - Country:US
Mailing Address - Phone:208-732-5365
Mailing Address - Fax:208-933-2087
Practice Address - Street 1:1770 PARK VIEW DR
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3252
Practice Address - Country:US
Practice Address - Phone:208-732-5365
Practice Address - Fax:208-933-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDHH-227251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1235137761Medicaid