Provider Demographics
NPI:1316295314
Name:VISION ONE HOME HEALTH CARE
Entity type:Organization
Organization Name:VISION ONE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:
Authorized Official - First Name:CARNIESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUDUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-702-4389
Mailing Address - Street 1:1718 T ST SE
Mailing Address - Street 2:APT 1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4733
Mailing Address - Country:US
Mailing Address - Phone:202-702-4389
Mailing Address - Fax:
Practice Address - Street 1:1718 T ST SE
Practice Address - Street 2:APT 1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4733
Practice Address - Country:US
Practice Address - Phone:202-702-4389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health