Mountain Vista Health Park, Inc.

Key facts

NPI: 1396754875
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: MOUNTAIN VISTA HEALTH PARK, INC.
Practice address: 106 Mt Vista Rd
Denton, NC 27239-8793
Phone: (336) 859-2181
Fax: (336) 859-4053
NPI assigned: Aug 5, 2006
Organization subpart: No

Authorized official

Name: Mrs. Kathy B McDonald
Title: Administrator
Phone: (336) 859-2181

Corporate family (same tax ID) 1

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

Mountain Vista Health Park, Inc. Adult Care Home Facility · Denton, NC · NPI 1710997804

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Clifton A Baker, MD General Practice Physician · Denton, NC · NPI 1053370098

NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Clifton A Baker, MD General Practice Physician · Denton, NC · NPI 1053370098

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Mountain Vista Health Park CCN 345196
Overall star rating: ★★★★★ 5 of 5
Health inspections: ★★★★★ 5 of 5
Staffing: ★★★★★ 5 of 5
Quality measures: ★★★★☆ 4 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified: Feb 4, 1980
Medicare certification status: Active (Provider of Services file)
Certified beds: 60 · 52.5 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Skilled nursing facility certification: CCN 345196

Legal name: MOUNTAIN VISTA HEALTH PARK, INC.
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Feb 4, 1980
Last certification: May 1, 2025
Beds: 120 (60 certified)
Ownership / control type: Nonprofit Corporation
Organization structure: Corporation · Non-profit
Incorporated: Jun 30, 1971 in NC
Enrollment address: 106 Mount Vista Rd
Denton, NC 27239-8793
Nursing home name: MOUNTAIN VISTA HEALTH PARK

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Name	Role	Since	Share
Scott Morris Individual	5% Or Greater Direct Ownership Interest President of the Board (Elected)	May 1, 2019	100%
	Corporate Officer President	Jul 1, 2016
	Trustee of the SNF	Jul 1, 2016
Individual	Trustee of the SNF	Jul 1, 2023
Individual	Trustee of the SNF	Jul 1, 2023
Individual	Trustee of the SNF	Jul 1, 2023
Individual	Trustee of the SNF	Jul 1, 2022
Individual	Trustee of the SNF	Jul 1, 2023
Cynthia Montgomery Individual	Corporate Director Administrator	Feb 1, 2022
	Operational/Managerial Control	Feb 1, 2022
	Adp of the SNF	Mar 4, 2025
Individual	Trustee of the SNF	Jul 1, 2024
Individual	Trustee of the SNF	Jul 1, 2022

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120215000262	NC	Part a Provider - Skilled Nursing Facility	3072771427	Practice locations: Denton, NC

National Provider Directory

Tax ID family: Mountain Vista Health Park (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X			Yes

Addresses

Primary practice location

106 Mt Vista Rd
Denton, NC 27239-8793

Mailing address

PO Box 1547
Denton, NC 27239-1547
Phone (336) 859-2181

Other identifiers

Identifier	Type	State	Issuer
3405196	Medicaid	NC
3406191	Medicaid	NC

Other names

MOUNTAIN VISTA HEALTH PARK Doing business as

Other providers in Denton, NC

All providers in Denton, NC · Skilled Nursing Facility in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.