Verde Vista Care and Rehab, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-366 Issued in AZ

Legal business name

VERDE VISTA CARE AND REHAB, INC

Practice address

15 E Highway 260
Camp Verde, AZ 86322-6864

Phone

(928) 567-5253

Fax

(928) 567-3794

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William Scott Thomas

Title

Systems Administrator

Phone

(801) 296-5106

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1902045164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E HIGHWAY 260",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226864",
            "telephone_number": "928-567-5253",
            "fax_number": "928-567-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E HIGHWAY 260",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226864",
            "telephone_number": "928-567-5253",
            "fax_number": "928-567-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VISTA CARE AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATOR",
        "authorized_official_telephone_number": "801-296-5106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707375",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.