Organization
VISTACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA PATRICE BAGSBY (LICENSEE/ADMINISTRATOR)
(310) 925-8857
Entity
Organization
Contact information
Practice address
11122 VISTA DEL VALLE DR, BAKERSFIELD, CA 93311-9191
(310) 925-8857
(323) 544-6446
Mailing address
11122 VISTA DEL VALLE DR, BAKERSFIELD, CA 93311-9191
(310) 925-8857
(323) 544-6446
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
177F00000X
Lodging Provider
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/19/2025
Last updated
11/02/2025
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