Basic Information
| Provider Information | |||||||||
| NPI: | 1811325087 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VIZION ONE INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6856 EASTERN AVE | ||||||||
| Address2: | SUITE #350 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20012 | ||||||||
| CountryCode: | UM | ||||||||
| TelephoneNumber: | 2025450935 | ||||||||
| FaxNumber: | 2025450176 | ||||||||
| Practice Location | |||||||||
| Address1: | 6856 EASTERN AVE NW | ||||||||
| Address2: | SUITE #350 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200122165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025450935 | ||||||||
| FaxNumber: | 2025450176 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2013 | ||||||||
| LastUpdateDate: | 10/24/2013 | ||||||||
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| AuthorizedOfficialLastName: | NZEFE | ||||||||
| AuthorizedOfficialFirstName: | MOFOR | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | HR | ||||||||
| AuthorizedOfficialTelephone: | 2025450935 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HCA-0051 | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | HCA-0051 | DC | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 045787200 | 05 | DC | MEDICAID |