Vista Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH4007-4007 Issued in OK

Legal business name

VISTA NURSING HOME INC

Doing business as

Vista Nursing Home

Practice address

114 W 2ND St
Heavener, OK 74937-2002

Phone

(918) 653-2472

Fax

(918) 653-2968

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Melanie Lewis

Title

Administrator

Phone

(918) 653-2472

Specialties & licenses 1

Addresses

Other names 1

• VISTA NURSING HOME Doing business as

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1285634543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 2ND ST",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372002",
            "telephone_number": "918-653-2472",
            "fax_number": "918-653-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 2ND ST",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372002",
            "telephone_number": "918-653-2472",
            "fax_number": "918-653-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-653-2472"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4007-4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylynn Stanley
• Jessica Steelman
• Christina Sterling
• Lana Jill Sullivan, B. A.
• Lacie C Thompson
• Tina G Wiles, RN
• Cynthia Wood, M.ED. LPC
• Kelly Renee Woodral
• Gary Eugene Youree, D.D.S.

• Skilled Nursing Facility in Heavener, OK
• Providers in Heavener, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.