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NPI Code Detail

MEDICARE: VISION ONE HEALTH CARE SERVICES LLC

MEDICARE: VISION ONE HEALTH CARE SERVICES 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1235924770
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION ONE HEALTH CARE SERVICES LLC
Provider Business Mailing Address
First Line : 9701 BROOKPARK RD STE 220D
Second Line :
City : PARMA
State : OH
Zip : 44129-6824
Country : US
Telephone Number : 202-486-6807
Fax Number :
Provider Business Practice Location Address
First Line : 9701 BROOKPARK RD STE 220D
Second Line :
City : PARMA
State : OH
Zip : 44129-6824
Country : US
Telephone Number : 202-486-6807
Fax Number :
Authorized Official
Title or Position : CEO/PRESIDENT
Name : MARTIN NKEMNGRO TANYIFOR
Credential : MARTIN NKEMNGRO
Telephone Number : 202-486-6807
Provider Enumeration Date : 04/14/2025
Last Update Date : 04/14/2025

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Directions to “VISION ONE HEALTH CARE SERVICES LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.