MEDICARE: VISON OF CARE HOME

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1831052687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISON OF CARE HOME

Provider Business Mailing Address
First Line	:	3436 W ACOMA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5673
Country	:	US
Telephone Number	:	602-675-1385
Fax Number	:

Provider Business Practice Location Address
First Line	:	3436 W ACOMA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5673
Country	:	US
Telephone Number	:	602-675-1385
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RAEY ZEWDE
Credential	:
Telephone Number	:	602-334-9752

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “VISON OF CARE HOME ” Practice Location

Language	Start Address	Practice Location

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