NPIMap

Organization Active NPI

Vista Care, LLC

  • Adult Mental Health Clinic/Center
  • St. Michaels, AZ
National Provider Identifier
1326125402
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
NAVAJO NATION WAIVER Issued in AZ
Legal business name
VISTA CARE, LLC
Practice address
Hwy 254 - 1 Mile SE From Chapter House
Westside - Pink BLDG/Gray Top
St. Michaels, AZ 86511
Phone
(928) 810-3707
Fax
(928) 810-3713
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Brooke E Balch
Title
Cfo of Three Springs, Inc.
Phone
(256) 880-3339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NAVAJO NATION WAIVER AZ Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NAVAJO NATION WAIVER AZ

Addresses

Primary practice location

Hwy 254 - 1 Mile SE From Chapter House
Westside - Pink BLDG/Gray Top
St. Michaels, AZ 86511

Mailing address

PO Box 1093
St Michaels, AZ 86511-1093
Phone (928) 674-3818

Other identifiers 1

IdentifierTypeStateIssuer
688640MedicaidAZ

Other names 1

  • Vista Springs Traditions - St. Michaels Other name

National Provider Directory

National Provider Directory
Tax ID family
Vista Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326125402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "ST MICHAELS",
            "state": "AZ",
            "postal_code": "865111093",
            "telephone_number": "928-674-3818",
            "fax_number": "928-674-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 254 - 1 MILE SE FROM CHAPTER HOUSE",
            "address_2": "WESTSIDE - PINK BLDG/GRAY TOP",
            "city": "ST. MICHAELS",
            "state": "AZ",
            "postal_code": "86511",
            "telephone_number": "928-810-3707",
            "fax_number": "928-810-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BALCH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO OF THREE SPRINGS, INC.",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "NAVAJO NATION WAIVER",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "NAVAJO NATION WAIVER",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Springs Traditions - St. Michaels",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St. Michaels, AZ

Sources for this page

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

Verify at the official NPI Registry.