Provider Demographics
NPI:1881978815
Name:VIZION ONE, INC.
Entity type:Organization
Organization Name:VIZION ONE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDALLAH
Authorized Official - Middle Name:SULEIMAN
Authorized Official - Last Name:KITWARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-545-0211
Mailing Address - Street 1:5400 E CENTRAL AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-4100
Mailing Address - Country:US
Mailing Address - Phone:316-558-8221
Mailing Address - Fax:316-558-8227
Practice Address - Street 1:5400 E CENTRAL AVE
Practice Address - Street 2:STE 110
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4100
Practice Address - Country:US
Practice Address - Phone:316-558-8221
Practice Address - Fax:316-558-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA087148251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS178095Medicare Oscar/Certification