Healthcare Provider Details

I. General information

NPI: 1891052148
Provider Name (Legal Business Name): VISIONS OF NEW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 04/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5739 DUAME RD
LENA WI
54139-9172
US

IV. Provider business mailing address

PO BOX 966
OCONTO FALLS WI
54154-0966
US

V. Phone/Fax

Practice location:
  • Phone: 920-834-7770
  • Fax: 920-834-6353
Mailing address:
  • Phone: 920-834-7770
  • Fax: 920-834-6353

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: DANIEL D SCHROEDER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 920-834-7770