Provider Demographics
NPI:1285804211
Name:ENVISION HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ENVISION HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:KOSHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-450-4306
Mailing Address - Street 1:310 EAST I 30
Mailing Address - Street 2:SUITE 314
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-8000
Mailing Address - Country:US
Mailing Address - Phone:972-285-7286
Mailing Address - Fax:972-285-7286
Practice Address - Street 1:310 EAST I 30
Practice Address - Street 2:SUITE 314
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8000
Practice Address - Country:US
Practice Address - Phone:972-285-7286
Practice Address - Fax:972-285-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility