Active NPI
Vista Home Health Services, LLC
- Home Health Agency
- Takoma Park, MD
National Provider Identifier
1497005383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NSA-0297
- Legal business name
- VISTA HOME HEALTH SERVICES, LLC
- Practice address
- 6411 Orchard Ave
#205
Takoma Park, MD 20912-4712 - Phone
- (202) 651-1972
- NPI assigned
- Sep 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emmanuel Santa Chacha
- Title
- Ceo
- Phone
- (240) 418-6459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NSA-0297 | DC | Primary |
Addresses
Primary practice location
6411 Orchard Ave
#205
Takoma Park, MD 20912-4712
Mailing address
6411 Orchard Ave
#205
Takoma Park, MD 20912-4712
Phone (202) 651-1972
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1497005383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 ORCHARD AVE",
"address_2": "#205",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124712",
"telephone_number": "202-651-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 ORCHARD AVE",
"address_2": "#205",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124712",
"telephone_number": "202-651-1972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "CHACHA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "SANTA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-418-6459",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "NSA-0297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.