Provider Demographics
NPI:1992371090
Name:VISTA HOMECARE SERVICES LTD
Entity Type:Organization
Organization Name:VISTA HOMECARE SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIQANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAALIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-300-5770
Mailing Address - Street 1:1584 BENDING WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8715
Mailing Address - Country:US
Mailing Address - Phone:614-300-5770
Mailing Address - Fax:
Practice Address - Street 1:1584 BENDING WILLOW LN
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-8715
Practice Address - Country:US
Practice Address - Phone:614-300-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health