Provider Demographics
NPI:1548031644
Name:NEW VISION HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:NEW VISION HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-449-8021
Mailing Address - Street 1:9609 SPRINGFIELD BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1360
Mailing Address - Country:US
Mailing Address - Phone:914-449-8021
Mailing Address - Fax:914-931-2595
Practice Address - Street 1:40 SAW MILL RIVER RD LOWR LL7
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1539
Practice Address - Country:US
Practice Address - Phone:646-696-5001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health