NPIMap

Organization Active NPI

Valley Vista Care Corporation

Doing business as Valley Vista Care Center of Sandpoint

  • Skilled Nursing Facility
  • Sandpoint, ID
National Provider Identifier
1497761050
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10 Issued in ID
Legal business name
VALLEY VISTA CARE CORPORATION
Doing business as
Valley Vista Care Center of Sandpoint
Valley Vista of Sandpoint
Practice address
220 S Division Ave
Sandpoint, ID 83864-1759
Phone
(208) 265-4514
Fax
(208) 263-3789
NPI assigned
Aug 1, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Kasey D Wilks
Title
Director of Corporate Compliance
Phone
(208) 245-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10 ID Primary

Addresses

Primary practice location

220 S Division Ave
Sandpoint, ID 83864-1759

Mailing address

820 Elm St
St Maries, ID 83861-2119
Phone (208) 245-4576

Other identifiers 1

IdentifierTypeStateIssuer
805673300MedicaidID

Other names 2

  • Valley Vista Care Center of Sandpoint Doing business as
  • Valley Vista of Sandpoint Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20021206000016 ID Part A Provider - Skilled Nursing Facility 2163330440 Practice locations: Sandpoint, ID
O20060417000470 ID Part B Supplier - Clinic/Group Practice 2163330440 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sandpoint, ID; St Maries, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497761050. Details of each certification follow.

Skilled nursing facility certification: CCN 135055

Legal name
VALLEY VISTA CARE CORPORATION
Doing business as
VALLEY VISTA CARE CENTER OF SANDPOINT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1973
Last certification
May 6, 2024
Beds
73
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Valley Vista Care Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 1999 in ID
Enrollment address
220 S Division Ave
Sandpoint, ID 83864-1759
Nursing home name
VALLEY VISTA CARE CENTER OF SANDPOINT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valley Vista Care Center of SandpointCCN 135055 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7367.3 residents per day on average
Penalties (3 years)
1Fines totaling $40,918

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Valley Vista Care Corp20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

220 S Division Ave
Sandpoint, ID 83864
Phone (208) 265-4514

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Cheri R Woodin Individual Corporate DirectorPresident Jun 30, 2019
Valley Vista Care Corporation Organization, St Maries, ID Operational/Managerial Control Dec 30, 1999
Donna Hayes Individual Corporate DirectorDirector Jun 30, 2021
Tom Goodall Individual Corporate DirectorDirector Jun 30, 2021
Charles Lloyd Individual Corporate OfficerChief Executive Officer Jun 17, 2019 100%
Michael Lambert Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Claudia M Spooner Individual Corporate DirectorDirector Jun 30, 2013
Doug Ryan Individual Corporate DirectorDirector Jun 30, 2020
Michael G Meza Individual Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018
William Cowin Individual Corporate DirectorVice President Aug 3, 2016
Kasey Wilks Individual Corporate DirectorDiretor of Corporate Comp Mar 15, 1999
Sabrina Powell Individual Corporate DirectorSecretary Jun 30, 2024
Heidi P McGreal Individual Corporate DirectorDirector of Administratives Oct 26, 1998

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Vista Care CenterSt Maries, ID, CCN 135075 Skilled nursing facility Direct Ownership Interest Oct 1, 1979

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1497761050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ELM ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838612119",
            "telephone_number": "208-245-4576",
            "fax_number": "208-245-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641759",
            "telephone_number": "208-265-4514",
            "fax_number": "208-263-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VISTA CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "208-245-4576"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805673300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vista Care Center of Sandpoint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Vista of Sandpoint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Vista of Sandpoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.