Organization Active NPI

His Vision Healthcare Services LLC

  • Home Health Agency
  • Decatur, GA
National Provider Identifier
1710521430
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIS VISION HEALTHCARE SERVICES LLC
Practice address
4153C Flat Shoals Pkwy Ste 330 D-F
Decatur, GA 30034-4863
Phone
(470) 558-8861
Fax
(404) 393-1125
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Ms. Vanessa Haynes
Title
Overseer
Phone
(404) 437-9419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4153C Flat Shoals Pkwy Ste 330 D-F
Decatur, GA 30034-4863

Mailing address

4153C Flat Shoals Pkwy Ste 330 D-F
Decatur, GA 30034-4863
Phone (470) 558-8461

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.hisvisionhcs.com Direct

National Provider Directory

National Provider Directory

Locations

4153C Flat Shoals Pkwy
Ste 330A
Decatur, GA 30034

4153C Flat Shoals Pkwy
Ste 330
Decatur, GA 30034
Phone (470) 558-8861

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1710521430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153C FLAT SHOALS PKWY STE 330 D-F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344863",
            "telephone_number": "470-558-8461",
            "fax_number": "404-393-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153C FLAT SHOALS PKWY STE 330 D-F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344863",
            "telephone_number": "470-558-8861",
            "fax_number": "404-393-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS VISION HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OVERSEER",
        "authorized_official_telephone_number": "404-437-9419",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.hisvisionhcs.com",
            "affiliation": "N",
            "endpointDescription": "Office Headquarters",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Letter or Email",
            "address_1": "4153C Flat Shoals Pkwy Ste 330A",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300344863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.