VISTA CARE LLC NPI 1447357728

NPI Information

NPI: 1447357728
Provider Name: VISTA CARE LLC

Other Name: THREE SPRINGS, INC.

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4120 E RAMSEY RD
HEREFORD, AZ
ZIP 85615
Phone: (520) 378-6466
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VISTA CARE LLC is a residential treatment facility emotionally disturbed children in Hereford, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. VISTA CARE LLC NPI is 1447357728. The provider is registered as an organization entity type.
The provider Other Name Is Three Springs, Inc..

The provider's business location address is:

4120 E RAMSEY RD
HEREFORD, AZ
ZIP 85615-917
Phone: (520) 378-6466
Fax: (520) 378-6553

The provider's authorized official is Brooke E Balch .
The authorized official title is Ceo/cfo, President Of Three Springs and has the following contact phone number (256) 880-3339.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		BH 1920	ARIZONA	Yes

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	593104	MEDICAID	ARIZONA

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: 11/14/2023

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