Provider Demographics
NPI:1639423304
Name:VISION HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:VISION HEALTHCARE SERVICES, INC.
Other - Org Name:HERITAGE HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-350-8778
Mailing Address - Street 1:320 EMERALD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1820
Mailing Address - Country:US
Mailing Address - Phone:717-350-8778
Mailing Address - Fax:
Practice Address - Street 1:4113 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1022
Practice Address - Country:US
Practice Address - Phone:717-545-6637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISION HEALTHCARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4140093311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4140093OtherUNLICENSED PERSONAL CARE HOME