NPIMap

Organization Active NPI

Vista Care, LLC

  • Adult Mental Health Clinic/Center
  • Chinle, AZ
National Provider Identifier
1366529414
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
Navajo Route 7
Westside Presbyterian Church
Chinle, AZ 86503
Phone
(928) 674-3818
Fax
(928) 674-5814
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

Navajo Route 7
Westside Presbyterian Church
Chinle, AZ 86503

Mailing address

PO Box 1820
Chinle, AZ 86503-1820
Phone (928) 674-3818

Other identifiers 1

IdentifierTypeStateIssuer
611807MedicaidAZ

Other names 1

  • Vista Springs Traditions - Chinle 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": "1366529414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865031820",
            "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": "NAVAJO ROUTE 7",
            "address_2": "WESTSIDE PRESBYTERIAN CHURCH",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-3818",
            "fax_number": "928-674-5814"
        }
    ],
    "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": "611807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Springs Traditions - Chinle",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chinle, 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.