NPIMap

Organization Active NPI

Valley Vista Care Corporation

  • Skilled Nursing Facility
  • St Maries, ID
National Provider Identifier
1770599409
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
23 Issued in ID
Legal business name
VALLEY VISTA CARE CORPORATION
Practice address
820 Elm St
St Maries, ID 83861-2119
Phone
(208) 245-4576
Fax
(208) 245-2138
NPI assigned
Aug 1, 2006
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 23 ID Primary

Addresses

Primary practice location

820 Elm St
St Maries, ID 83861-2119

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
002610900MedicaidID

Other names 1

  • Valley Vista Care Center of St. Maries Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050804001227 ID Part A Provider - Skilled Nursing Facility 2163330440 Practice locations: St Maries, ID
O20060417000470 ID Part B Supplier - Clinic/Group Practice 2163330440 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Sandpoint, ID; St Maries, ID

Skilled nursing facility certification: CCN 135075

Legal name
VALLEY VISTA CARE CORPORATION
Doing business as
VALLEY VISTA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1979
Last certification
Dec 5, 2024
Beds
74
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Valley Vista Care Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 16, 1986 in ID
Enrollment address
820 Elm St
St Maries, ID 83861-2119
Nursing home name
VALLEY VISTA CARE CENTER OF ST MARIES

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 St MariesCCN 135075
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7448.7 residents per day on average
Penalties (3 years)
1Fines totaling $43,843

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Valley Vista Care Corporation20 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 12

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 OfficerSecretary Jun 30, 2019
Corporate DirectorBRD MBR Jun 30, 2018
Valley Vista Care Corporation Organization, St Maries, ID Corporation Direct Ownership Interest Oct 1, 1979
Donna Hayes Individual Corporate DirectorDirector Jun 30, 2021
Tom Goodall Individual Corporate DirectorDirector Jun 30, 2021
Charles Lloyd Individual Corporate OfficerCeo Jun 17, 2019
Jeanne McDaniel Individual Corporate DirectorSecretary Oct 1, 2012
Claudia M Spooner Individual Corporate DirectorPresident BRD of Directors Jun 30, 2013
Doug Ryan Individual Corporate DirectorDirector Jun 30, 2020
William Cowin Individual Corporate DirectorVice President Aug 3, 2016
Kasey Wilks Individual Corporate DirectorDirector of Corporate Compliance Mar 15, 1999
Operational/Managerial Control Mar 15, 1999
Sabrina Powell Individual Corporate DirectorDirector Jun 30, 2024
Heidi P McGreal Individual Corporate DirectorDirector of Administrator Servic Oct 26, 1998

Owners & managing parties with NPI records 1

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 Center of SandpointSandpoint, ID, CCN 135055 Skilled nursing facility Operational/Managerial Control Dec 30, 1999

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1770599409",
    "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": "820 ELM ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838612119",
            "telephone_number": "208-245-4576",
            "fax_number": "208-245-2138"
        }
    ],
    "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": "23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002610900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vista Care Center of St. Maries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Maries, ID

Sources for this page

Verify at the official NPI Registry.