Organization
VISTA ADULT CARE, INC.
Active
Other names
Vista Adult Care at Waterfield
Organization subpart
No
Provider details
NPI number
Authorized official
LEONCIO MACAISA MOLINO AO (MANAGER)
(775) 338-2320
Entity
Organization
Contact information
Practice address
3056 WATERFIELD DR, SPARKS, NV 89434-1627
(775) 338-2320
(775) 360-6000
Mailing address
3056 WATERFIELD DR, SPARKS, NV 89434-1627
(775) 338-2320
(775) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10342-AGC
—
NV
Enumeration date
05/27/2021
Last updated
05/27/2021
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