Healthcare Provider Details

I. General information

NPI: 1831016831
Provider Name (Legal Business Name): VISAMO HOME HEALTH CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 CHILTON WAY
FAIRLESS HILLS PA
19030-3305
US

IV. Provider business mailing address

227 CHILTON WAY
FAIRLESS HILLS PA
19030-3305
US

V. Phone/Fax

Practice location:
  • Phone: 657-293-5668
  • Fax:
Mailing address:
  • Phone: 657-293-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PRIYANKA PATEL
Title or Position: PRESIDENT
Credential:
Phone: 657-293-5668