Provider Demographics
NPI:1851343826
Name:VISION HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:VISION HOME HEALTH CARE INC.
Other - Org Name:VISION HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:OKECHUKWU
Authorized Official - Last Name:NWOKEABIA
Authorized Official - Suffix:
Authorized Official - Credentials:JURIS DOCTOR
Authorized Official - Phone:951-787-8903
Mailing Address - Street 1:7177 BROCKTON AVE
Mailing Address - Street 2:SUITE 219
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2631
Mailing Address - Country:US
Mailing Address - Phone:951-787-8903
Mailing Address - Fax:951-787-8904
Practice Address - Street 1:7177 BROCKTON AVE
Practice Address - Street 2:SUITE 219
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2631
Practice Address - Country:US
Practice Address - Phone:951-787-8903
Practice Address - Fax:951-787-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08164FMedicaid
CAHHA08164FMedicaid