Provider Demographics
NPI:1407344021
Name:VISION RESIDENTIAL HOMES
Entity Type:Organization
Organization Name:VISION RESIDENTIAL HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-480-0701
Mailing Address - Street 1:PO BOX 1832
Mailing Address - Street 2:
Mailing Address - City:KILMARNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22482-0000
Mailing Address - Country:US
Mailing Address - Phone:804-480-0701
Mailing Address - Fax:
Practice Address - Street 1:563 WILSON LANE
Practice Address - Street 2:
Practice Address - City:WEEMS
Practice Address - State:VA
Practice Address - Zip Code:22576-0000
Practice Address - Country:US
Practice Address - Phone:804-480-0701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness