Organization Active NPI

Vista Healthcare Services LLC

  • Family Medicine Physician
  • Claymont, DE
National Provider Identifier
1679295448
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VISTA HEALTHCARE SERVICES LLC
Practice address
590 Naamans Rd Ste 219
Claymont, DE 19703-2308
Phone
(302) 299-3996
Fax
(302) 724-4795
NPI assigned
Sep 16, 2022
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Serah Muhoro, NP
Title
Owner
Phone
(302) 299-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

590 Naamans Rd Ste 219
Claymont, DE 19703-2308

Mailing address

590 Naamans Rd Ste 219
Claymont, DE 19703-2308
Phone (302) 299-3996

National Provider Directory

National Provider Directory

Locations

590 Naamans Rd
Ste 219
Claymont, DE 19703
Phone (302) 230-1665

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1679295448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NAAMANS RD STE 219",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032308",
            "telephone_number": "302-299-3996",
            "fax_number": "302-724-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NAAMANS RD STE 219",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032308",
            "telephone_number": "302-299-3996",
            "fax_number": "302-724-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MUHORO",
        "authorized_official_first_name": "SERAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-299-3996",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.