Mountain Vista Health Park, Inc.
Organization Active NPI Adult Care Home Facility · Denton, NC
NPI 1710997804 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710997804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- NH0259 (NC)
- Legal business name
- MOUNTAIN VISTA HEALTH PARK, INC.
- Practice address
- 106 Mt Vista Rd
Denton, NC 27239-8793 - Phone
- (336) 859-2181
- Fax
- (336) 859-4053
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathy B McDonald
- Title
- Administrator
- Phone
- (336) 859-2181
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Mountain Vista Health Park
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NH0259 | NC | Yes |
Addresses
Primary practice location
106 Mt Vista Rd
Denton, NC 27239-8793
Mailing address
PO Box 1547
Denton, NC 27239-1547
Phone (336) 859-2181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801373 | Medicaid | NC |
Other names
- MOUNTAIN VISTA HEALTH PARK
Other providers in Denton, NC
- Olivia Lorenz
- Felizardo Hocbo Mangundayao
- Wendy Sutts McLeod
- Misty Nichols Mize
- Mountain Vista Health Park, Inc.
- NH Med Operator LLC
- NH Med Services LLC
- NH Med Services, LLC
- North Carolina CVS Pharmacy LLC
- Brittany Osterhus
All providers in Denton, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.