GREATER VISION STAFFING AGENCY LLC NPI 1083069074

NPI Information

NPI: 1083069074
Provider Name: GREATER VISION STAFFING AGENCY, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 10D2143606

Address:
485 N KELLER RD STE 101
MAITLAND, FL
ZIP 32751
Phone: (407) 473-2837
Get Directions

GREATER VISION STAFFING AGENCY, LLC is a nursing care in Maitland, FL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. GREATER VISION STAFFING AGENCY, LLC NPI is 1083069074. The provider is registered as an organization entity type.

The provider's business location address is:

485 N KELLER RD STE 101
MAITLAND, FL
ZIP 32751-536
Phone: (407) 473-2837

The provider's authorized official is Vernet Stallworth .
The authorized official title is President and has the following contact phone number (407) 461-7762.

The CLIA number assigned to this NPI record is 10D2143606 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2016 and was last updated on 7/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251E00000X	Home Health		No
2	251F00000X	Home Infusion		No
3	251G00000X	Hospice Care, Community Based		No
4	251J00000X	Nursing Care		Yes
5	302R00000X	Health Maintenance Organization		No
6	305R00000X	Preferred Provider Organization		No
7	3747A0650X	Technician	Attendant Care Provider	No
8	3747P1801X	Technician	Personal Care Attendant	No
9	253Z00000X	In Home Supportive Care		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	018600200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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