Healthcare Provider Details

I. General information

NPI: 1083901458
Provider Name (Legal Business Name): NVISIONS IN-HOME SUPPORT SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14706 DELANO DR
WOODBRIDGE VA
22193-1743
US

IV. Provider business mailing address

14706 DELANO DR
WOODBRIDGE VA
22193-1743
US

V. Phone/Fax

Practice location:
  • Phone: 571-285-5300
  • Fax: 571-285-5300
Mailing address:
  • Phone: 571-285-5300
  • Fax: 571-285-5300

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: MS. MILLIE M JOYNER
Title or Position: PRESIDENT / CEO
Credential: OWNER
Phone: 571-268-2124