# VISTA HOME HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497005383
- **Authorized official:** MR. EMMANUEL SANTA CHACHA (CEO)
- **Authorized official phone:** (240) 418-6459

## Contact information

- **Practice address:** 6411 ORCHARD AVE, \#205, TAKOMA PARK, MD 20912-4712
- **Practice address phone:** (202) 651-1972
- **Mailing address:** 6411 ORCHARD AVE, \#205, TAKOMA PARK, MD 20912-4712
- **Mailing address phone:** (202) 651-1972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | NSA-0297 | DC | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012