Vista Elderly Care Facility

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VISTA ELDERLY CARE FACILITY

Practice address

8893 N Sierra Vista Ave
Fresno, CA 93720-3948

Phone

(559) 900-3433

Fax

(559) 900-3433

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Sophat Yin

Title

Owner

Phone

(559) 470-2062

Specialties & licenses 1

Addresses

Other names 1

• VISTA ELDERLY CARE Other name

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1447927496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8893 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203948",
            "telephone_number": "559-900-3433",
            "fax_number": "559-900-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8893 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203948",
            "telephone_number": "559-900-3433",
            "fax_number": "559-900-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ELDERLY CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "SOPHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-470-2062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA ELDERLY CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.