Provider Demographics
NPI:1629415385
Name:VISION ONE HOME HEALTH AID
Entity Type:Organization
Organization Name:VISION ONE HOME HEALTH AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEUMELIEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-447-2378
Mailing Address - Street 1:10 LIBERTY PL APT 14
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2793
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 LIBERTY PL APT 14
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2793
Practice Address - Country:US
Practice Address - Phone:443-447-2378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1268912311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home