Provider Demographics
NPI:1235924770
Name:VISION ONE HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:VISION ONE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:NKEMNGRO
Authorized Official - Last Name:TANYIFOR
Authorized Official - Suffix:
Authorized Official - Credentials:MARTIN NKEMNGRO
Authorized Official - Phone:202-486-6807
Mailing Address - Street 1:9701 BROOKPARK RD STE 220D
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6824
Mailing Address - Country:US
Mailing Address - Phone:202-486-6807
Mailing Address - Fax:
Practice Address - Street 1:9701 BROOKPARK RD STE 220D
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6824
Practice Address - Country:US
Practice Address - Phone:202-486-6807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health