Provider Demographics
NPI:1962246298
Name:VISION HOUSING LLC
Entity type:Organization
Organization Name:VISION HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAFTU
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAMEREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-432-0887
Mailing Address - Street 1:1649 MCNAUGHTEN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-1645
Mailing Address - Country:US
Mailing Address - Phone:614-432-0887
Mailing Address - Fax:
Practice Address - Street 1:1472 E 26TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-1671
Practice Address - Country:US
Practice Address - Phone:614-432-0887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health