Healthcare Provider Details

I. General information

NPI: 1154250595
Provider Name (Legal Business Name): VIACQWEAR HOLDINGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1143 TAIT RD
NEW FRANKLIN OH
44319-3941
US

IV. Provider business mailing address

1143 TAIT RD
NEW FRANKLIN OH
44319-3941
US

V. Phone/Fax

Practice location:
  • Phone: 330-322-0923
  • Fax: 330-322-0923
Mailing address:
  • Phone: 330-322-0923
  • Fax: 330-322-0923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN FUSCO
Title or Position: PRESIDENT
Credential: FUSCO
Phone: 330-322-0923