Active NPI
Vista Adult Care LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sparks, NV
National Provider Identifier
1285024679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- VISTA ADULT CARE LLC
- Practice address
- 3056 Waterfield Drive
Sparks, NV 89434-1627 - Phone
- (775) 338-2320
- Fax
- (775) 360-6000
- NPI assigned
- Jan 23, 2015
- Organization subpart
- Yes
- Parent organization
- VISTA ADULT CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leoncio Macaisa Molino
- Title
- Owner/Manager.
- Phone
- (775) 338-2320
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 5849AGC | NV | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
3056 Waterfield Drive
Sparks, NV 89434-1627
Mailing address
1079 Ricco Drive
Sparks, NV 89434-6603
Phone (775) 338-2320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10343-AGC-0 | Other | NV | DPBH |
National Provider Directory
National Provider Directory- Tax ID family
- Vista Adult Care
- Part of
- Vista Adult Care
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sparks, NV
- NPI 1427432012
-
dba Vista Adult Care III
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sparks, NV
- NPI 1477891489
-
dba Vista Adult Care at Waterfield
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sparks, NV
- NPI 1730755158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622764800000",
"number": "1285024679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 RICCO DRIVE",
"city": "SPARKS",
"state": "NV",
"postal_code": "894346603",
"telephone_number": "775-338-2320",
"fax_number": "775-360-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3056 WATERFIELD DRIVE",
"city": "SPARKS",
"state": "NV",
"postal_code": "894341627",
"telephone_number": "775-338-2320",
"fax_number": "775-360-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA ADULT CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISTA ADULT CARE LLC",
"enumeration_date": "2015-01-23",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A",
"authorized_official_last_name": "MOLINO",
"authorized_official_first_name": "LEONCIO",
"authorized_official_middle_name": "MACAISA",
"authorized_official_title_or_position": "OWNER/MANAGER.",
"authorized_official_telephone_number": "775-338-2320",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NV",
"license": "5849AGC",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPBH",
"identifier": "10343-AGC-0",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.