Countryside Assisted Living

LBN: Valley Vista Care Corporation
Countryside Assisted Living is an health care organization with primary practice located at 4433 Beverland Road , Mackay ID 83251-0239. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as the primary health care specialty. Valley Vista Care Corporation can be contacted via phone (208) 588-2600, or through Mills, Gail via phone (208) 245-4576.

Contact Information

Primary practice address
4433 Beverland Road Mackay ID 83251-0239
Phone: (208) 588-2600
Fax: (208) 588-3104
Website:
Map and Directions
Authorized official contact:
Name: Mills, Gail
Phone: (208) 245-4576

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X

Profile Details

NPI number 1780751966
LBN Legal business name Valley Vista Care Corporation
DBA Doing business as Countryside Assisted Living
Authorized official Mills, Gail
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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