Provider Demographics
NPI:1023812419
Name:VISTA IN-HOME CARE
Entity type:Organization
Organization Name:VISTA IN-HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAZIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-309-4127
Mailing Address - Street 1:400 W SOUTH BOULDER RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2724
Mailing Address - Country:US
Mailing Address - Phone:720-764-2288
Mailing Address - Fax:
Practice Address - Street 1:400 W SOUTH BOULDER RD STE 2500
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2724
Practice Address - Country:US
Practice Address - Phone:720-764-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care