MEDICARE: VISION HOME CARE LLC

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	253Z00000X	In Home Supportive Care Agency
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1144948548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION HOME CARE LLC

Provider Business Mailing Address
First Line	:	6200 N HIAWATHA AVE STE 305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4335
Country	:	US
Telephone Number	:	773-312-2385
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 N HIAWATHA AVE STE 305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4335
Country	:	US
Telephone Number	:	773-312-2385
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SAMIT ANSARI
Credential	:
Telephone Number	:	773-312-2385

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	08/22/2022

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Directions to “VISION HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

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