Provider Demographics
NPI:1760710354
Name:VISION HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:VISION HEALTHCARE SERVICES, INC
Other - Org Name:ALPHA VISION HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-545-6637
Mailing Address - Street 1:4113 LINGLESTOWN RD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1022
Mailing Address - Country:US
Mailing Address - Phone:717-545-6637
Mailing Address - Fax:717-545-8083
Practice Address - Street 1:4113 LINGLESTOWN RD
Practice Address - Street 2:SUITE 100A
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:717-545-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04010501251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA04010501OtherHOME HEALTH
PA04010501OtherDEPARTMENT OF HEALTH
PA1011012070001Medicaid
PA21233601OtherHOMECARE AGENCY & REGISTRY