Provider Demographics
NPI:1588438170
Name:VISION HOME CARE, LLC
Entity type:Organization
Organization Name:VISION HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOKEB
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULJELIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-772-2840
Mailing Address - Street 1:8155 COMSTOCK TER NW
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7693
Mailing Address - Country:US
Mailing Address - Phone:614-500-1398
Mailing Address - Fax:
Practice Address - Street 1:8155 COMSTOCK TER NW
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7693
Practice Address - Country:US
Practice Address - Phone:614-500-1398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care