Vista Supports LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VISTA SUPPORTS LLC

Practice address

853 New Jersey Ave SE Ste 246
Washington, DC 20003-5079

Phone

(833) 698-4782

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Precious Tamara Myers-Brown

Title

Chief Innovation Officer/Founder/Ce

Phone

(301) 609-2686

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1780443549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 NEW JERSEY AVE SE STE 246",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200035079",
            "telephone_number": "833-698-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 NEW JERSEY AVE SE STE 246",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200035079",
            "telephone_number": "833-698-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MYERS-BROWN",
        "authorized_official_first_name": "PRECIOUS",
        "authorized_official_middle_name": "TAMARA",
        "authorized_official_title_or_position": "CHIEF INNOVATION OFFICER/FOUNDER/CE",
        "authorized_official_telephone_number": "301-609-2686"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Mar 15, 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.