NPIMap

Organization Active NPI

Vistas Home Care, Inc.

  • Respite Care
  • Stone Mountain, GA
National Provider Identifier
1821424243
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
044-R-0872 Issued in GA
Legal business name
VISTAS HOME CARE, INC.
Practice address
5329 Memorial Dr Ste a
Stone Mountain, GA 30083-3212
Phone
(678) 904-7050
Fax
(678) 904-7051
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
N.Kemdi Ihenacho
Title
Owner
Phone
(678) 904-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 044-R-0872 GA Primary

Addresses

Primary practice location

5329 Memorial Dr Ste a
Stone Mountain, GA 30083-3212

Mailing address

PO Box 870828
Stone Mountain, GA 30087-0021
Phone (678) 904-7050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1821424243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870828",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870021",
            "telephone_number": "678-904-7050",
            "fax_number": "678-904-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 MEMORIAL DR STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833212",
            "telephone_number": "678-904-7050",
            "fax_number": "678-904-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTAS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "IHENACHO",
        "authorized_official_first_name": "N.KEMDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-904-7050"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "044-R-0872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.