Visionary Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VISIONARY HOME CARE LLC

Practice address

306 S Shadowlawn Dr
Albany, GA 31707-4243

Phone

(229) 288-1928

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Dialisa Clark

Title

Owner

Phone

(229) 288-1928

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1881232015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398280815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S SHADOWLAWN DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074243",
            "telephone_number": "229-288-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DIALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-288-1928"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Dec 18, 2019; 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.