Organization Active NPI

Vista Cove at Rancho Mirage

  • Assisted Living Facility
  • Rancho Mirage, CA
National Provider Identifier
1245079052
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VISTA COVE AT RANCHO MIRAGE
Practice address
70201 Mirage Cove Dr
Rancho Mirage, CA 92270-2906
Phone
(760) 324-4604
Fax
(760) 318-4370
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Jackson D Poyfair, LVN
Title
Executive Director
Phone
(760) 218-6724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

70201 Mirage Cove Dr
Rancho Mirage, CA 92270-2906

Mailing address

70201 Mirage Cove Dr
Rancho Mirage, CA 92270-2906
Phone (760) 324-4604

National Provider Directory

National Provider Directory

Locations

70201 Mirage Cove Dr
Rancho Mirage, CA 92270
Phone (760) 324-4604

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1245079052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70201 MIRAGE COVE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702906",
            "telephone_number": "760-324-4604",
            "fax_number": "760-318-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70201 MIRAGE COVE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702906",
            "telephone_number": "760-324-4604",
            "fax_number": "760-318-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COVE AT RANCHO MIRAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "POYFAIR",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-218-6724",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.