MEDICARE: VISION HOME HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	2163831	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285177550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	4275 E MAIN ST
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-3032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4275 E MAIN ST
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-3032
Country	:	US
Telephone Number	:	614-338-8100
Fax Number	:	614-338-8105

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. HAFTU A ASAMEREW
Credential	:
Telephone Number	:	614-338-8100

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	11/18/2016

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