MEDICARE: VISTACARE USA, INC.

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	251G00000X	Community Based Hospice Care Agency	025-114-H	GA

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	:	1417902719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTACARE USA, INC.

Provider Business Mailing Address
First Line	:	717 N HARWOOD ST
Second Line	:	SUITE 1500
City	:	DALLAS
State	:	TX
Zip	:	75201-6519
Country	:	US
Telephone Number	:	214-922-9711
Fax Number	:	214-922-9752

Provider Business Practice Location Address
First Line	:	1000 TOWNE CENTER BLVD
Second Line	:	SUITE 604
City	:	POOLER
State	:	GA
Zip	:	31322-4052
Country	:	US
Telephone Number	:	912-330-0460
Fax Number	:	912-330-0409

Authorized Official
Title or Position	:	SR VP & CFO
Name	:	MR. RODNEY DIRK ALLISON
Credential	:
Telephone Number	:	214-922-9711

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	03/10/2008

Similar Medicare Providers

1023947579 — BROOKE BICHNER
Practice Location Address:

1000 TOWNE CENTER BLVD
POOLER, GA
31322-4052

Practice Phone: 706-842-5330
Practice Fax: 706-842-5340

1154319408 — WOUND CARE CLINIC - ESU, INC.
Practice Location Address:

1000 TOWNE CENTER BLVD , SUITE 705
POOLER, GA
31322-4052

Practice Phone: 912-272-9494
Practice Fax: 912-998-0041

1437169075 — THE FOOT & ANKLE CENTER, PC
Practice Location Address:

1000 TOWNE CENTER BLVD , SUITE 505
POOLER, GA
31322-4052

Practice Phone: 912-330-8885
Practice Fax: 912-330-8858

1316057821 — DR. MICHAEL ROBERT COHEN D.O.
Practice Location Address:

1000 TOWNE CENTER BLVD , SUITE 701
POOLER, GA
31322-4052

Practice Phone: 912-748-2280
Practice Fax: 912-748-4988

1760588636 — DR. TODD ANDREW SCHNOBRICH OD
Practice Location Address:

1000 TOWNE CENTER BLVD , SUITE # 502
POOLER, GA
31322-4052

Practice Phone: 912-748-1272
Practice Fax:

1487753141 — DR. TIMOTHY DALE HENDRICKS O.D.
Practice Location Address:

1000 TOWNE CENTER BLVD , SUITE 502
POOLER, GA
31322-4052

Practice Phone: 912-748-1272
Practice Fax: 912-748-1996

Directions to “VISTACARE USA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.