Basic Information
| Provider Information | |||||||||
| NPI: | 1215147665 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW VISION HOME HEALTH CARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1177 S DE ANZA BLVD | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951293660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087251840 | ||||||||
| FaxNumber: | 4087258840 | ||||||||
| Practice Location | |||||||||
| Address1: | 1177 S DE ANZA BLVD | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951293660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087251840 | ||||||||
| FaxNumber: | 4087258840 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHAN | ||||||||
| AuthorizedOfficialFirstName: | NAZNEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 4087612541 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | CA | Y | Agencies | Home Health |
No ID Information.