VALLEY VISTA CARE CORPORATION (NPI# 1881761476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881761476 |
| Entity Type | Organization |
| Organization Name | VALLEY VISTA CARE CORPORATION |
| Other Organization Name | ANTELOPE CREEK ASSISTED LIVING |
| Practice Address |
3668 W. 3700 N. Darlington ID 83255-0909 |
| Mailing Address |
820 Elm St St Maries ID 83861-2119 |
| Practice Telephone | 2085882700 |
| Practice Fax Number | 2085882701 |
| Mailing Telephone | 2082454576 |
| Mailing Fax Number | 2082452138 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GAIL MILLS (CORPORATE COMPLIANCE MANAGER) |
| Authorized Official Telephone | 2082454576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Antelope Creek Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780751966 | Valley Vista Care Corporation | Assisted Living Facility | 4433 Beverland Road, Mackay, ID 83251-0239 | 2006-11-30 |
| 1194892489 | Valley Vista Care Corporation | Community/Behavioral Health | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| 1770599409 | Valley Vista Care Corporation | Skilled Nursing Facility | 820 Elm St, St Maries, ID 83861-2119 | 2006-08-01 |
| 1497761050 | Valley Vista Care Corporation | Skilled Nursing Facility | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2006-08-01 |
| 1194056598 | Valley Vista Care Corporation | Skilled Nursing Facility | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2010-01-25 |
| 1336216621 | Valley Vista Care Corporation | Clinic/Center | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| 1134296437 | Valley Vista Care Corporation | Family Medicine | 820 Elm St, St Maries, ID 83861-2119 | 2006-11-29 |
| Street Address |
3668 W. 3700 N. |
| City | DARLINGTON |
| State | ID |
| Zip Code | 83255-0909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386997393 | Moore Clinic Inc | Family Medicine | 3162 N 3350 W, Moore, ID 83255 | 2012-10-16 |
| 1164628442 | Suzanne Keele Edelman | Nurse Practitioner | 4702 W Cherry Creek Road, Moore, ID 83255 | 2007-06-25 |
| 1336599976 | Easy Go Express | Clinic/Center | 3551 W Antelope Rd, Moore, ID 83255-8754 | 2016-06-14 |
| 1750827549 | Douglas Pearson | Secured Medical Transport (VAN) | 3551 W Antelope Rd, Moore, ID 83255-8754 | 2017-01-17 |
| 1861046450 | Sarah Louise Babcock | Massage Therapist | 3136 N 3350 W, Moore, ID 83255-8760 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617941 | The Place of Healing | Meals | 712 Pearl St, Darlington, SC 29532-3842 | 2020-10-21 |
| 1578170841 | Megan Britt | Speech-Language Pathologist | 503 Anderson Dr, Darlington, SC 29532-2211 | 2020-09-30 |
| 1568072601 | A'nucare | Psychiatry & Neurology | 708 Pearl St, Darlington, SC 29532-3842 | 2020-08-04 |
| 1396372835 | Shawn Demetrius Chapman | Home Health Aide | 119 Pearl St, Darlington, SC 29532-3808 | 2020-03-25 |
| 1275169641 | Agape Physical Therapy & Sports Rehabilitation Limited Partnership | Physical Therapist | 3938 Conowingo Rd, Darlington, MD 21034-1331 | 2020-03-18 |
| 1134753650 | Tonya Latrece Wingate | Early Intervention Provider Agency | 817 N Springville Rd, Darlington, SC 29540-7914 | 2020-02-24 |
| 1730722281 | Ashley Faye Evans | Licensed Practical Nurse | 416 Gilchrist Rd, Darlington, SC 29532-2139 | 2019-10-28 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1831747229 | Linda Coe | Technician | 1233 Old Florence Rd, Darlington, SC 29532-5734 | 2019-08-28 |
| 1730736398 | Always There Home Care, LLC | In Home Supportive Care | 40 Public Sq Ste 103, Darlington, SC 29532-3220 | 2019-08-19 |
| Find all providers in DARLINGTON | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780751966 | Valley Vista Care Corporation | Assisted Living Facility | 4433 Beverland Road, Mackay, ID 83251-0239 | 2006-11-30 |
| City | DARLINGTON |
| Zip Code | 83255 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.