VISTA ASSITED LIVING (NPI# 1063723872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063723872 |
| Entity Type | Organization |
| Organization Name | VISTA ASSITED LIVING |
| Practice Address |
820 Elm Dr St Maries ID 83861-2119 |
| Mailing Address |
243 N 300 E Rupert ID 83350-9491 |
| Practice Telephone | 2082454576 |
| Practice Fax Number | 2082452138 |
| Mailing Telephone | 2084363332 |
| Mailing Fax Number | 2084361289 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | KASEY BORGMAN (CORPORATE COMPLIANCE) |
| Authorized Official Telephone | 2082454576 |
| Is Organization Subpart | Y |
| Parent Organization Name | VALLEY VISTA CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | M0026110-006 | 05 |
| Street Address |
820 ELM DR |
| City | ST MARIES |
| State | ID |
| Zip Code | 83861-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043521271 | Susan E Hall | Speech-Language Pathologist | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-22 |
| 1619325594 | Sarah Vittum Miller | Speech-Language Pathologist | 820 Elm Dr, St Maries, ID 83861-2119 | 2016-06-01 |
| 1740553726 | Jessica Haley Zizzi | Occupational Therapist | 820 Elm Dr, St Maries, ID 83861-2119 | 2012-02-21 |
| 1285948638 | Sheila L Balison | Occupational Therapist | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-07-27 |
| 1801107370 | Mini Cassia Area Transit - Commercial | Non-emergency Medical Transport (VAN) | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-29 |
| 1265743736 | Bonner Area Transit - Agency | Non-emergency Medical Transport (VAN) | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-29 |
| 1619288180 | Mini Cassia Area Transit - Agency | Non-emergency Medical Transport (VAN) | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-29 |
| 1154632800 | Lost River Area Transit - Agency | Non-emergency Medical Transport (VAN) | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-28 |
| 1679884480 | Benewah Area Transit - Commercial | Non-emergency Medical Transport (VAN) | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-25 |
| 1720399538 | Valley Vista Senior Meals | Home Delivered Meals | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880789 | Catherine Frances Bean | Private Vehicle | 5753 Alder Creek Rd, St. Maries, ID 83861 | 2017-09-20 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1881752913 | Richard K Thurston | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1851337208 | Robert D Magwire | Optometrist | 704 College, St Maries, ID 83861 | 2006-06-22 |
| 1205810025 | William Walter Wheeler | Surgery | 229 S. 7th Street, St. Maries, ID 83861 | 2005-12-05 |
| 1952469082 | John Richard Katovich Jr. | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1255351458 | William Scott Spence | Family Medicine | 229 S. 7th Street, St. Maries, ID 83861 | 2006-07-20 |
| 1992756233 | Terry L Spohr | Physician Assistant | 229 S. 7th Street, St. Maries, ID 83861 | 2006-05-12 |
| 1699723411 | David James Luther | Family Medicine | 229 S. 7th Street, Saint Maries, ID 83861 | 2006-05-04 |
| 1629627666 | Valerie Kay Sanchez | Technician/Technologist | 305 N 19th St, St Maries, ID 83861-1156 | 2019-09-11 |
| Find all providers in zip 83861 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356652168 | Valley Vista Apartments | In Home Supportive Care | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-25 |
| 1346551157 | Valley Vista Cottage Care | In Home Supportive Care | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-25 |
| 1194046367 | Idaho Partners In Care | In Home Supportive Care | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312763 | Elite Care LLC | In Home Supportive Care | 1560 N Crestmont Dr Ste D, Meridian, ID 83642-2178 | 2020-09-25 |
| 1447860291 | All Heart Home Care | In Home Supportive Care | 211 S Woodruff Ave Ste B1, Idaho Falls, ID 83401-4866 | 2020-08-06 |
| 1073134326 | Personal Home Care Specialists LLC | In Home Supportive Care | 1411 Falls Ave E Ste 415, Twin Falls, ID 83301-3455 | 2020-04-28 |
| 1578182424 | Terrace Home Health Boise LLC | In Home Supportive Care | 2929 W Navigator Dr Ste 201, Meridian, ID 83642-7553 | 2020-04-10 |
| 1114546223 | Treasure Valley Home Care Services L.L.C. | In Home Supportive Care | 13334 W Persimmon St, Boise, ID 83713-0860 | 2020-04-09 |
| 1326678525 | Sara Elizabeth Manzer | In Home Supportive Care | 2430 Center Ave, Payette, ID 83661-2740 | 2020-01-16 |
| 1164077376 | Arms Wide Open LLC | In Home Supportive Care | 134 3rd St S, Nampa, ID 83651-3715 | 2019-08-05 |
| 1013569003 | Legacy Rhs, LLC | In Home Supportive Care | 16663 Woodduck St, Nampa, ID 83687-8296 | 2019-07-10 |
| 1609430446 | Peak Moments Inc. | In Home Supportive Care | 800 W Main St Ste 1460, Boise, ID 83702-5983 | 2019-04-26 |
| 1871055152 | 3 and 1, LLC | In Home Supportive Care | 2524 W Sorbonne Dr, Coeur D Alene, ID 83815-5302 | 2019-04-04 |
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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.