Vista Grande Inn, Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

VISTA GRANDE INN, INC

Doing business as

vista grande inn

Practice address

680 E Hospital Dr
Cortez, CO 81321-6200

Phone

(970) 564-1122

Fax

(970) 564-1131

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Luciana Singer

Title

Management

Phone

(970) 516-1404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• vista grande inn Doing business as

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1841664620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E HOSPITAL DR",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813216200",
            "telephone_number": "970-564-1122",
            "fax_number": "970-564-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E HOSPITAL DR",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813216200",
            "telephone_number": "970-564-1122",
            "fax_number": "970-564-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GRANDE INN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "970-516-1404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12208086",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vista grande inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerry Vandiver, R.PH.
• Anthony F Verow, MD
• John Alton Vestal III, D.D.S.
• Eric Andrew Viquez, MD
• Megan Perez Viquez, M.D.
• Vista Grande Inn, Inc.
• Vista Grande Rehabilitation and Healthcare Center LLC
• Vista Grande Rehabilitation and Healthcare Center LLC
• Jon Christopher Vivolo, D.O.
• Wal-Mart Stores, Inc.

• Respite Care in Cortez, CO
• Providers in Cortez, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.