Sunset Vista, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNSET VISTA, INC

Practice address

3650 N Fowler Ave
Silver City, NM 88061-7202

Phone

(575) 538-9095

Fax

(575) 538-0035

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alton Ray Sircy, LPCC

Title

Vice President

Phone

(505) 538-9095

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sunset Vista Adult Residential Care Former legal business name

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1770616591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N FOWLER AVE",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617202",
            "telephone_number": "575-538-9095",
            "fax_number": "575-538-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N FOWLER AVE",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617202",
            "telephone_number": "575-538-9095",
            "fax_number": "575-538-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET VISTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "SIRCY",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-538-9095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "5563",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000D3756",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Vista Adult Residential Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joshua Stretch
• Paul Howard Stuetzer, DOM
• April Sturdevant, RC
• Jasmine Elaine Succes, ATC
• Monica Sulaitis
• Supporting People in Need
• Suzanne Inc
• Aaron Peter Swatzell
• Silver L. Tabor
• Carlos Tafoya, CSW

• Assisted Living Facility in Silver City, NM
• Providers in Silver City, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.