New Vistas Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NEW VISTAS RECOVERY, INC.

Practice address

4983 Sonoma Highway
Suite M
Santa Rosa, CA 95409

Phone

(707) 934-7543

NPI assigned

Jun 7, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Kidd

Title

Chief Executive Officer

Phone

(707) 996-6716

Specialties & licenses 1

Addresses

Other names 1

• MOUNTAIN VISTA FARM Doing business as

Tax ID family

Mountain Vista Farm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• New Vista Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Glen Ellen, CA
  • NPI 1538222138
  NPD tax ID

Locations

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1720820178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WARM SPRINGS ROAD",
            "city": "GLEN ELLEN",
            "state": "CA",
            "postal_code": "95442",
            "telephone_number": "707-996-6716",
            "fax_number": "707-996-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 SONOMA HIGHWAY",
            "address_2": "SUITE M",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-934-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISTAS RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-996-6716"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN VISTA FARM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Directions Adolescent Services, Inc
• New Directions Medical Center Inc
• New Ear Hearing Aid Center, Inc.
• New Leaf Counseling and Psychotherapy
• New Rivers Alliance
• Kathryn Elaine Newburn, CNM, RNP
• Tom John Newell
• Dafne Newman-Amador
• Angela L Newman, LMFT
• Debra L Newman

• Substance Abuse Rehabilitation Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.