Healthcare Provider Details

I. General information

NPI: 1922920552
Provider Name (Legal Business Name): VISIONARY HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 D A WEIDER BLVD UNIT 104
MONROE NY
10950-6291
US

IV. Provider business mailing address

23 D A WEIDER BLVD UNIT 104
MONROE NY
10950-6291
US

V. Phone/Fax

Practice location:
  • Phone: 845-204-8485
  • Fax:
Mailing address:
  • Phone: 845-204-8485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: USHER KRAUS
Title or Position: OWNER
Credential:
Phone: 845-204-8485