Vistacare Provider Services Inc

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

VISTACARE PROVIDER SERVICES INC

Practice address

5006 Hearth Hollow LN
Sugar Land, TX 77479-3857

Phone

(832) 443-3705

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Nkechi Egbosimba

Title

President

Phone

(832) 443-3705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1457036972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 HEARTH HOLLOW LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 HEARTH HOLLOW LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793857",
            "telephone_number": "832-443-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "EGBOSIMBA",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-443-3705"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.