Vistacare

LBN: Vistacare Usa, Inc.
Vistacare is an health care organization with primary practice located at 1000 Towne Center Blvd Suite 604, Pooler GA 31322-4052. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Vistacare Usa, Inc. can be contacted via phone (912) 330-0460, or through Allison, Rodney Dirk via phone (214) 922-9711.

Contact Information

Primary practice address
1000 Towne Center Blvd Suite 604 Pooler GA 31322-4052
Phone: (912) 330-0460
Fax: (912) 330-0409
Website:
Map and Directions
Authorized official contact:
Name: Allison, Rodney Dirk
Phone: (214) 922-9711

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 025-114-H Georgia

Profile Details

NPI number 1417902719
LBN Legal business name Vistacare Usa, Inc.
DBA Doing business as Vistacare
Authorized official Allison, Rodney Dirk
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Mar 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417902719 NPPES
Georgia MEDICAID 00821312A

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