Avista Living and Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVISTA LIVING AND CARE INC.

Practice address

12667 Yorkshire Dr
Apple Valley, CA 92308-2709

Phone

(760) 605-4674

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Adetutu Esther Lala, REGISTERED NURSE

Title

Ceo

Phone

(760) 605-4674

Specialties & licenses 2

Addresses

Other names 1

• Yorkshire Garden care #1 Other name

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1982486981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12667 YORKSHIRE DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082709",
            "telephone_number": "760-605-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12667 YORKSHIRE DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082709",
            "telephone_number": "760-605-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISTA LIVING AND CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "ADETUTU",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-605-4674",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorkshire Garden care #1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.