VISTACARE USA, INC. (NPI# 1417902719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417902719 |
| Entity Type | Organization |
| Organization Name | VISTACARE USA, INC. |
| Other Organization Name | VISTACARE |
| Practice Address |
1000 Towne Center Blvd Suite 604 Pooler GA 31322-4052 |
| Mailing Address |
717 N Harwood St Suite 1500 Dallas TX 75201-6519 |
| Practice Telephone | 9123300460 |
| Practice Fax Number | 9123300409 |
| Mailing Telephone | 2149229711 |
| Mailing Fax Number | 2149229752 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | MR. RODNEY DIRK ALLISON (SR VP & CFO) |
| Authorized Official Telephone | 2149229711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 025-114-H | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00821312A | 05 |
| Other Name | Type Code |
|---|---|
| VistaCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265487615 | Vistacare Usa, Inc. | Hospice Care, Community Based | 25 Whitney Dr, Suite 102, Milford, OH 45150-8402 | 2006-05-24 |
| 1104871532 | Vistacare Usa, Inc. | Hospice Care, Community Based | 1713 Dawson Rd, Albany, GA 31707-3301 | 2006-05-24 |
| 1043265473 | Vistacare Usa, Inc. | Hospice Care, Community Based | 6420 E Broadway Blvd, Suite B-200, Tucson, AZ 85710-3534 | 2006-05-24 |
| 1174578512 | Vistacare Usa, Inc. | Hospice Care, Community Based | 690 Canton St, Westwood, MA 02090-2321 | 2006-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | VISTACARE USA, INC. | 6991 E Camelback Rd Ste C250, Scottsdale, AZ 85251 |
| Street Address |
1000 TOWNE CENTER BLVD SUITE 604 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154319408 | Wound Care Clinic - Esu, Inc. | Clinic/Center | 1000 Towne Center Blvd, Suite 705, Pooler, GA 31322-4052 | 2005-10-11 |
| 1891241360 | The Whole Tooth | Dentist | 1000 Towne Center Blvd, Suite 505, Pooler, GA 31322-4052 | 2016-08-25 |
| 1467815472 | Genesis Wound Care of Pooler, LLC | Durable Medical Equipment & Medical Supplies | 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052 | 2016-03-29 |
| 1538529631 | Southern Allergy & Asthma, PC | Allergy & Immunology | 1000 Towne Center Blvd, Building 500 Suite 305, Pooler, GA 31322-4052 | 2016-03-02 |
| 1912365495 | Jana Alisa Bevill | Nurse Practitioner | 1000 Towne Center Blvd, Suite 160, Pooler, GA 31322-4052 | 2016-01-29 |
| 1376930339 | Genesis Vascular of Pooler, LLC | Internal Medicine | 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052 | 2015-04-16 |
| 1598157364 | Matthew J. Allen, D.d.s., L.L.C. | Dentist | 1000 Towne Center Blvd, Suite 101, Pooler, GA 31322-4052 | 2015-03-03 |
| 1316338494 | Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | 1000 Towne Center Blvd, Ste 200, Pooler, GA 31322-4052 | 2015-02-11 |
| 1598153900 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 1000 Towne Center Blvd, Suite 602, Pooler, GA 31322-4052 | 2015-01-07 |
| 1962836106 | Catherine E Hamlin | Dentist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2013-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489131 | Lhcg Clviii, LLC | Hospice Care, Community Based | 119 Canal St Ste 103, Pooler, GA 31322-4094 | 2020-02-21 |
| 1568857506 | Affinis Hospice, LLC | Hospice Care, Community Based | 130 Canal St, Suite 102 & 103, Pooler, GA 31322-4085 | 2015-04-06 |
| 1720231343 | Compassionate Care Hospice of Savannah, LLC | Hospice Care, Community Based | 138 Canal St, Suite 304, Pooler, GA 31322-4051 | 2008-10-28 |
| 1285766485 | Ihc Hospice, Inc. | Hospice Care, Community Based | 1000 Towne Center Blvd, Suite 303, Pooler, GA 31322-4052 | 2007-03-12 |
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| 1255947651 | Community Hospice of Georgia | Hospice Care, Community Based | 321 N Main St Ste A, Adairsville, GA 30103-2403 | 2020-09-21 |
| 1437762382 | Allaway Angels | Hospice Care, Community Based | 805 Deerfield Ct, Stone Mountain, GA 30087-5483 | 2020-08-28 |
| 1144832494 | Circle of Hope Hospice | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 105, Norcross, GA 30071-3515 | 2020-08-18 |
| 1518578335 | Jaslinks Hospice Inc | Hospice Care, Community Based | 2282 Meadow Church Rd Ste 300, Duluth, GA 30097-5318 | 2020-08-14 |
| 1104434570 | An Angels Touch Hospice LLC | Hospice Care, Community Based | 2345 4th St Ste 600d, Tucker, GA 30084-8518 | 2020-07-21 |
| 1609494327 | Divine Guardian LLC | Hospice Care, Community Based | 2321 4th St Ste 210, Tucker, GA 30084-8516 | 2020-07-09 |
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.