Provider Demographics
NPI:1013172352
Name:VISIONZ ALLIANCE LLC
Entity Type:Organization
Organization Name:VISIONZ ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:COCHRANE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:602-586-8414
Mailing Address - Street 1:351 W SUMERSET DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-7425
Mailing Address - Country:US
Mailing Address - Phone:602-586-8414
Mailing Address - Fax:
Practice Address - Street 1:351 W SUMERSET DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-7425
Practice Address - Country:US
Practice Address - Phone:602-586-8414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities