Provider Demographics
NPI:1578732996
Name:NEW VISION HOME CARE, LLC
Entity Type:Organization
Organization Name:NEW VISION HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-687-3330
Mailing Address - Street 1:58725 BELLEVIEW DR
Mailing Address - Street 2:SUITE A2
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3948
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:58725 BELLEVIEW DR
Practice Address - Street 2:SUITE A2
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3948
Practice Address - Country:US
Practice Address - Phone:225-687-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1011207311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1011207OtherLTPCS PROVIDER NUMBER