NPIMap

Organization Active NPI

Vista Adult Care, Inc.

Doing business as Vista Adult Care III

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Sparks, NV
National Provider Identifier
1477891489
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
7429AGC-2 Issued in NV
Legal business name
VISTA ADULT CARE, INC.
Doing business as
Vista Adult Care III
Practice address
7300 Pah Rah Dr
Sparks, NV 89436-9081
Phone
(775) 338-3886
Fax
(775) 360-6000
NPI assigned
Jan 25, 2013
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mrs. Evangeline Casupanan Molino
Title
Administrator
Phone
(775) 338-3886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 7429AGC-2 NV Primary

Addresses

Primary practice location

7300 Pah Rah Dr
Sparks, NV 89436-9081

Mailing address

7300 Pah Rah Dr
Sparks, NV 89436-9081
Phone (775) 338-3886

Other names 1

  • VISTA ADULT CARE III Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vista Adult Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

  • Vista Adult Care
    • Intellectual and/or Developmental Disabilities Residential Treatment Facility
    • Sparks, NV
    • NPI 1427432012
    NPD tax ID
  • Vista Adult Care LLC
    • Intellectual and/or Developmental Disabilities Residential Treatment Facility
    • Sparks, NV
    • NPI 1285024679
    NPD tax ID
  • Vista Adult Care, Inc.

    dba Vista Adult Care at Waterfield

    • Intellectual and/or Developmental Disabilities Residential Treatment Facility
    • Sparks, NV
    • NPI 1730755158
    NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1477891489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 PAH RAH DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369081",
            "telephone_number": "775-338-3886",
            "fax_number": "775-360-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 PAH RAH DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369081",
            "telephone_number": "775-338-3886",
            "fax_number": "775-360-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ADULT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "MOLINO",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_middle_name": "CASUPANAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-338-3886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NV",
            "license": "7429AGC-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA ADULT CARE III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.