Provider Demographics
NPI:1891141255
Name:ENVISION HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ENVISION HEALTH CARE SERVICES, LLC
Other - Org Name:DISTINCT CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEP
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-284-6509
Mailing Address - Street 1:23635 VERDE RIV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2033
Mailing Address - Country:US
Mailing Address - Phone:210-284-6509
Mailing Address - Fax:
Practice Address - Street 1:23635 VERDE RIV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-2033
Practice Address - Country:US
Practice Address - Phone:210-284-6509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health