Healthcare Provider Details

I. General information

NPI: 1801834593
Provider Name (Legal Business Name): VISTACARE USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/07/2026
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BROOKSTONE CENTRE PKWY STE 100
COLUMBUS GA
31904-9255
US

IV. Provider business mailing address

PO BOX 4060
MOORESVILLE NC
28117-4060
US

V. Phone/Fax

Practice location:
  • Phone: 706-653-0835
  • Fax: 706-653-8024
Mailing address:
  • Phone: 704-664-2876
  • Fax: 704-664-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MS. JANET COMBS
Title or Position: VP OF LICENSURE
Credential:
Phone: 704-662-1761