Provider Demographics
NPI:1861672701
Name:VISTA HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:VISTA HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YIRAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARDONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-251-5471
Mailing Address - Street 1:13255 SW 137TH AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5328
Mailing Address - Country:US
Mailing Address - Phone:305-251-5471
Mailing Address - Fax:305-251-5472
Practice Address - Street 1:13255 SW 137TH AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5328
Practice Address - Country:US
Practice Address - Phone:305-251-5471
Practice Address - Fax:305-251-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health