Healthcare Provider Details

I. General information

NPI: 1649079963
Provider Name (Legal Business Name): NEW VISTA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2419 OAKTREE DR
FAIRFIELD OH
45014-3941
US

IV. Provider business mailing address

2419 OAKTREE DR
FAIRFIELD OH
45014-3941
US

V. Phone/Fax

Practice location:
  • Phone: 520-250-4423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KARUNA KATHET
Title or Position: ADMINISTRATOR
Credential:
Phone: 520-250-4423