Provider Demographics
NPI:1457177438
Name:VISION HOME CARE LLC
Entity type:Organization
Organization Name:VISION HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-205-2516
Mailing Address - Street 1:500 LA TERRAZA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3876
Mailing Address - Country:US
Mailing Address - Phone:858-205-2516
Mailing Address - Fax:
Practice Address - Street 1:500 LA TERRAZA BLVD
Practice Address - Street 2:STE 150
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:858-205-2516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty