Provider Demographics
NPI:1831993757
Name:GREATER VISIONS COMMUNITY SUPPORT SERVICES, LLC.
Entity type:Organization
Organization Name:GREATER VISIONS COMMUNITY SUPPORT SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-338-7821
Mailing Address - Street 1:1000 TRUMAN RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3635
Mailing Address - Country:US
Mailing Address - Phone:757-338-7821
Mailing Address - Fax:757-338-7821
Practice Address - Street 1:1000 TRUMAN RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-3635
Practice Address - Country:US
Practice Address - Phone:757-338-7821
Practice Address - Fax:757-338-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty