Provider Demographics
NPI:1851899512
Name:JOSIE & LYNN SERVICES INC.
Entity Type:Organization
Organization Name:JOSIE & LYNN SERVICES INC.
Other - Org Name:VISTA HOME HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:IGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-590-0610
Mailing Address - Street 1:30727 FALCON TRCE
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-2745
Mailing Address - Country:US
Mailing Address - Phone:907-590-0610
Mailing Address - Fax:281-501-3772
Practice Address - Street 1:10333 HARWIN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1545
Practice Address - Country:US
Practice Address - Phone:281-501-3763
Practice Address - Fax:281-501-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health