Provider Demographics
NPI:1063703106
Name:VIZION ONE, INC
Entity type:Organization
Organization Name:VIZION ONE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDALLAH
Authorized Official - Middle Name:SULEIMAN
Authorized Official - Last Name:KITWARA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:202-725-0772
Mailing Address - Street 1:450 E 96TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-3760
Mailing Address - Country:US
Mailing Address - Phone:317-581-6160
Mailing Address - Fax:317-581-6110
Practice Address - Street 1:450 E 96TH ST STE 500
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3760
Practice Address - Country:US
Practice Address - Phone:317-581-6160
Practice Address - Fax:317-581-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-24
Last Update Date:2011-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN00011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health