# VISTA HILLS HEALTH CARE CENTER LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Hills Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386631331
- **Authorized official:** MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER)
- **Authorized official phone:** (215) 441-7700

## Contact information

- **Practice address:** 1599 LOMALAND DR, EL PASO, TX 79935-4201
- **Practice address phone:** (915) 593-1131
- **Practice address fax:** (915) 593-2938
- **Mailing address:** 200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025
- **Mailing address phone:** (214) 441-7700
- **Mailing address fax:** (215) 441-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 109569 | TX | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 116883 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 116883 | TX | — |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 10/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 005086 | VENDOR \# STATE OF TX | TX |