Organization Active NPI

Greater Vision Healthcare Services, LLC

  • Home Health Agency
  • Ocoee, FL
National Provider Identifier
1366984627
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREATER VISION HEALTHCARE SERVICES, LLC
Doing business as
Greater Vision Home Care
Practice address
788 Montgomery Ave Ste 200
Ocoee, FL 34761-3102
Phone
(407) 473-2837
Fax
(407) 614-2420
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Vernet Stallworth
Title
Owner/President
Phone
(407) 473-2837

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

788 Montgomery Ave Ste 200
Ocoee, FL 34761-3102

Mailing address

788 Montgomery Ave Ste 200
Ocoee, FL 34761-3102
Phone (407) 473-2837

Other practice location 1

788 Montgomery Ave Ste 200
Ocoee, FL 34761-3102
Phone (407) 473-2837

Other identifiers 2

IdentifierTypeStateIssuer
100212300MedicaidFL
112640700MedicaidFL

Other names 1

  • Greater Vision Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@gvhcs.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2143606Greater Vision Healthcare Services, LLC788 Montgomery Avenue Suite 200, Ocoee, FL 34761Certificate of waiverFeb 1, 2028

National Provider Directory

National Provider Directory

Locations

485 N Keller Rd
Ste 101
Maitland, FL 32751
Phone (407) 473-2837

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1366984627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 MONTGOMERY AVE STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613102",
            "telephone_number": "407-473-2837",
            "fax_number": "407-614-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 MONTGOMERY AVE STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613102",
            "telephone_number": "407-473-2837",
            "fax_number": "407-614-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Montgomery Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613102",
            "country_code": "US",
            "telephone_number": "407-473-2837",
            "fax_number": "407-614-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER VISION HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "VERNET",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-473-2837"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112640700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gvhcs.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "788 Montgomery Ave",
            "city": "Ocoee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347613102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greater Vision Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Vision Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.