His Vision Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HIS VISION HEALTHCARE

Practice address

4153C Flat Shoals Pkwy Ste E4153C
Decatur, GA 30034-4858

Phone

(470) 558-8761

Fax

(770) 727-2080

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Vanessa Haynes

Title

Owner

Phone

(404) 437-9419

Specialties & licenses 1

Addresses

Other names 1

• His Vision Healthcare Former legal business name

Locations

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1114696549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153C FLAT SHOALS PKWY STE E4153C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344858",
            "telephone_number": "404-437-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153C FLAT SHOALS PKWY STE E4153C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344858",
            "telephone_number": "470-558-8761",
            "fax_number": "770-727-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS VISION HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-437-9419"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His Vision Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maxine Hines
• Melanie M Hines
• Sonja Johnson Hines, MSW, MPA
• Prentis Hinton Sr.
• His Fruit LLC
• His Vision Healthcare Services LLC
• Mary Denise Hitchcock, LCSW
• Gordon L Hixson Jr., MD
• James Hixson, PHARMD
• Chuan-Xing Ho

• Home Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.