# VISTA CARE HOME INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437574894
- **Authorized official:** MISS ELIZA MARTIROSYAN (PRESIDENT)
- **Authorized official phone:** (626) 926-4303

## Contact information

- **Practice address:** 10949 BURNET AVE, MISSION HILLS, CA 91345-1505
- **Practice address phone:** (818) 361-4999
- **Practice address fax:** (818) 361-1666
- **Mailing address:** 10949 BURNET AVE, MISSION HILLS, CA 91345-1505
- **Mailing address phone:** (818) 361-4999
- **Mailing address fax:** (818) 361-1666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550002566 | CA | Yes |

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 02/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 550002566 | — | CA |