Provider Demographics
NPI:1811325087
Name:VIZION ONE INC
Entity type:Organization
Organization Name:VIZION ONE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR
Authorized Official - Prefix:
Authorized Official - First Name:MOFOR
Authorized Official - Middle Name:C
Authorized Official - Last Name:NZEFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-545-0935
Mailing Address - Street 1:6856 EASTERN AVE
Mailing Address - Street 2:SUITE #350
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:UM
Mailing Address - Phone:202-545-0935
Mailing Address - Fax:202-545-0176
Practice Address - Street 1:6856 EASTERN AVE NW
Practice Address - Street 2:SUITE #350
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2165
Practice Address - Country:US
Practice Address - Phone:202-545-0935
Practice Address - Fax:202-545-0176
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA-0051
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHCA-0051251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC045787200Medicaid