Life With Vision Home Helth Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE WITH VISION HOME HELTH AGENCY LLC

Practice address

2958 Peacock St
Hope Mills, NC 28348-9695

Phone

(910) 633-0633

Fax

(910) 491-8853

NPI assigned

Dec 25, 2023

Organization subpart

No

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

Authorized official

Name

Malicia M Bailey, BSN, RN

Title

Owner/ Director/ Nursing Supervisor

Phone

(910) 633-0633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1639948219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 PEACOCK ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489695",
            "telephone_number": "910-633-0633",
            "fax_number": "910-491-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 PEACOCK ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489695",
            "telephone_number": "910-633-0633",
            "fax_number": "910-491-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WITH VISION HOME HELTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MALICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR/ NURSING SUPERVISOR",
        "authorized_official_telephone_number": "910-633-0633",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Canady Laughlin
• Tracey Nicholson Laureles, PT
• Legacy Health Care
• Leilani Inc.
• Essence Alazae Lewis
• Kennard Tabborri Lloyd, DDS
• Bonnie Jeanette Locke, PTA
• Rose Lowery Locklear, LCSW
• Thomas Long, DDS
• Azalea R Longmire

• In Home Supportive Care Agency in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.