MEDICARE: UNITED VISIONS HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC2928	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093761579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED VISIONS HEALTHCARE

Provider Business Mailing Address
First Line	:	104 ZEBULON CT
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-2420
Country	:	US
Telephone Number	:	252-937-2199
Fax Number	:	252-937-2197

Provider Business Practice Location Address
First Line	:	104 ZEBULON CT
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-2420
Country	:	US
Telephone Number	:	252-937-2199
Fax Number	:	252-937-2197

Authorized Official
Title or Position	:	DIRECTOR OF CLIENT SERVICES
Name	:	MRS. DEDRA STATON
Credential	:
Telephone Number	:	252-937-2199

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/22/2020

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Directions to “UNITED VISIONS HEALTHCARE ” Practice Location

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