Organization Active NPI

Vista Montana Senior Living Inc.

Doing business as Vista Montana Senior Living

  • Assisted Living Facility
  • Hemet, CA
National Provider Identifier
1073999470
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336426330 Issued in CA
Legal business name
VISTA MONTANA SENIOR LIVING INC.
Doing business as
Vista Montana Senior Living
Practice address
155 N Girard St
Hemet, CA 92544-4624
Phone
(951) 658-2274
Fax
(951) 765-2025
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Bender
Title
Vice President
Phone
(310) 430-2994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336426330 CA Primary

Addresses

Primary practice location

155 N Girard St
Hemet, CA 92544-4624

Mailing address

155 N Girard St
Hemet, CA 92544-4624
Phone (951) 658-2274

Other names 1

  • Vista Montana Senior Living Doing business as

National Provider Directory

National Provider Directory

Locations

155 N Girard St
Hemet, CA 92544
Phone (951) 658-2274

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1073999470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N GIRARD ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444624",
            "telephone_number": "951-658-2274",
            "fax_number": "951-765-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N GIRARD ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444624",
            "telephone_number": "951-658-2274",
            "fax_number": "951-765-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MONTANA SENIOR LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-430-2994"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336426330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Montana Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.