Healthcare Provider Details

I. General information

NPI: 1558347500
Provider Name (Legal Business Name): VISION HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 E CENTERVILLE RD SUITE A
GARLAND TX
75041
US

IV. Provider business mailing address

409 E CENTERVILLE RD SUITE A
GARLAND TX
75041-4636
US

V. Phone/Fax

Practice location:
  • Phone: 214-703-0767
  • Fax: 214-703-0765
Mailing address:
  • Phone: 214-703-0767
  • Fax: 214-703-0765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number005847
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number005847
License Number StateTX

VIII. Authorized Official

Name: KUMAR AGRAWAL
Title or Position: PHC COORDINATOR
Credential:
Phone: 214-620-1303