Vista Homecare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VISTA HOMECARE SERVICES LLC

Practice address

8690 Rushside Dr
Pinckney, MI 48169-9164

Phone

(734) 678-0459

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Darlene A Bourne

Title

Ceo

Phone

(734) 678-0459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1114744026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 RUSHSIDE DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699164",
            "telephone_number": "734-678-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 RUSHSIDE DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699164",
            "telephone_number": "734-678-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-678-0459"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Thiry, LLMSW
• Puja Kumarie Uppal, D.O.
• Deborah Usitalo
• Laurie Fitzgerald Verburg, P.T.
• Veteran Administration
• Sylvia Christy Waldron, PHARM.D.
• Stephen Waltersdorf, MS, AT, ATC
• Wellbridge of Pinckney, LLC
• Megan Wild, LLMSW
• Melissa Williams

• In Home Supportive Care Agency in Pinckney, MI
• Providers in Pinckney, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.