Vista Adult Family Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VISTA ADULT FAMILY CARE HOME LLC

Practice address

10641 Vista del Sol Cir
Clermont, FL 34711-8030

Phone

(352) 988-9553

NPI assigned

Sep 20, 2024

Organization subpart

No

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

Authorized official

Name

Laurette Chery

Title

Manager

Phone

(352) 988-9553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1659198745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 VISTA DEL SOL CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118030",
            "telephone_number": "352-988-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 VISTA DEL SOL CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118030",
            "telephone_number": "352-988-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ADULT FAMILY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "CHERY",
        "authorized_official_first_name": "LAURETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-988-9553"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Clermont, FL
• Providers in Clermont, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.