Organization · NPI-2
Greater Vision Healthcare Services, LLC
Home Health · Ocoee, FL
NPI number1366984627
StatusActive
Last updated in NPPESSep 19, 2022
Details
- NPI
- 1366984627
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Vision Healthcare Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2016
- Certification date
- Sep 19, 2022
- Last updated
- Sep 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- Greater Vision Home Care (Doing Business As)
Practice location
788 Montgomery Ave Ste 200Ocoee, FL 34761-3102
Phone 407-473-2837 · Fax 407-614-2420
Mailing address
788 Montgomery Ave Ste 200Ocoee, FL 34761-3102
Phone 407-473-2837 · Fax 407-614-2420
Other practice locations
788 Montgomery Ave Ste 200
Ocoee, FL 34761-3102
Ocoee, FL 34761-3102
Phone 407-473-2837 · Fax 407-614-2420
Authorized official
Vernet Stallworth
Owner/President
4074732837
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