Vistar Group LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

752996 Issued in TX

Legal business name

VISTAR GROUP LLC

Doing business as

Vistar Group LLC

Practice address

20319 Rusty Rock LN
Cypress, TX 77433-6300

Phone

(281) 248-6353

NPI assigned

Jan 29, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Ouko

Title

Administrator

Phone

(281) 248-6353

Specialties & licenses 1

Addresses

Other names 1

• VISTAR GROUP LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1083112726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20319 RUSTY ROCK LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336300",
            "telephone_number": "281-248-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20319 RUSTY ROCK LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336300",
            "telephone_number": "281-248-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTAR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OUKO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-248-6353"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "752996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTAR GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Cypress, TX
• Providers in Cypress, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.