# BUENA VISTA MANOR ARF INC.

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

## Provider details

- **NPI number:** 1750846143
- **Authorized official:** SHEILA PATRICE BAGSBY OWNER (ADMINISTRATOR)
- **Authorized official phone:** (310) 925-8857

## Contact information

- **Practice address:** 11126 VISTA DEL VALLE DR, BAKERSFIELD, CA 93311-9191
- **Practice address phone:** (310) 925-8857
- **Mailing address:** 11126 VISTA DEL VALLE DR, BAKERSFIELD, CA 93311-9191
- **Mailing address phone:** (310) 925-8857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/10/2019
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548725922 | — | CA |