Vista Grande Inn, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VISTA GRANDE INN, INC.

Doing business as

Vista Grande Inn

Practice address

680 East Hospital Drive
Cortez, CO 81321

Phone

(970) 564-1122

Fax

(970) 564-1131

NPI assigned

Dec 29, 2006

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

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1962568352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 EAST HOSPITAL DRIVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "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 EAST HOSPITAL DRIVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-564-1122",
            "fax_number": "970-564-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GRANDE INN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89157231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Grande Inn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Grande Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Walgreen Co

• Skilled Nursing Facility in Cortez, CO
• Providers in Cortez, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.