Vistacare USA, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

047-223-H Issued in GA

Legal business name

VISTACARE USA, INC.

Doing business as

VistaCare

Practice address

1713 Dawson Rd
Albany, GA 31707-3301

Phone

(229) 430-7537

Fax

(229) 430-9846

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard R Slager

Title

Chief Executive Officer

Phone

(480) 648-4545

Specialties & licenses 1

Addresses

Other names 1

• VistaCare Doing business as

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104871532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD",
            "address_2": "SUITE 5000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "480-648-4545",
            "fax_number": "480-648-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073301",
            "telephone_number": "229-430-7537",
            "fax_number": "229-430-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE USA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLAGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-648-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "047-223-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VistaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Albany, GA
• Providers in Albany, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.