Organization
VALLEY VISTA CARE CORPORATION
Active
Parent organization
VALLEY VISTA COTTAGE CARE
Other names
Cottage Care Assisted Living, Valley Vista Cottage Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY VISTA COTTAGE CARE
Authorized official
KASEY D BORGMAN (DIRECTOR OF CORPORATE COMPLIANCE)
(208) 245-4576
Entity
Organization
Contact information
Practice address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Mailing address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC1236
STATE OF IDAHO DEPT OF HEALTH AND WELFARE
ID
Enumeration date
12/18/2020
Last updated
12/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us