Active NPI
Valley Vista Care Corporation
- Skilled Nursing Facility
- Sandpoint, ID
National Provider Identifier
1194056598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VALLEY VISTA CARE CORPORATION
- Practice address
- 220 S Division Ave
Sandpoint, ID 83864-1759 - Phone
- (208) 245-4576
- Fax
- (208) 245-2138
- NPI assigned
- Jan 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kasey D Wilks
- Title
- Director of Corporate Compliance
- Phone
- (208) 245-4576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | ID | Primary |
Addresses
Primary practice location
220 S Division Ave
Sandpoint, ID 83864-1759
Mailing address
220 S Division Ave
Sandpoint, ID 83864-1759
Phone (208) 245-4576
Other names 1
- Vista Therapy of Sandpoint
National Provider Directory
National Provider Directory- Tax ID family
- Valley Vista Care Corporation
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1194056598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S DIVISION AVE",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641759",
"telephone_number": "208-245-4576",
"fax_number": "208-245-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S DIVISION AVE",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641759",
"telephone_number": "208-245-4576",
"fax_number": "208-245-2138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY VISTA CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-25",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "WILKS",
"authorized_official_first_name": "KASEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR OF CORPORATE COMPLIANCE",
"authorized_official_telephone_number": "208-245-4576"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vista Therapy of Sandpoint",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.