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VISTA ASSITED LIVING NPI 1063723872


NPI Information

NPI: 1063723872
Provider Name: VISTA ASSITED LIVING
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
820 ELM DR
ST MARIES, ID
ZIP 83861
Phone: (208) 245-4576
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VISTA ASSITED LIVING is an in home supportive care in St Maries, ID. The provider is 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. VISTA ASSITED LIVING NPI is 1063723872. The provider is registered as an organization entity type.

The provider's business location address is:

820 ELM DR
ST MARIES, ID
ZIP 83861-119
Phone: (208) 245-4576
Fax: (208) 245-2138

The provider's authorized official is Kasey Borgman .
The authorized official title is Corporate Compliance and has the following contact phone number (208) 245-4576.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.


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
1253Z00000XIn Home Supportive CareYes

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
1M0026110-006MEDICAIDIDAHO

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: 5/5/2024

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