Vista Manor

LBN: Vista Manor Health Care Associates Llc
Vista Manor is an health care organization with primary practice located at 1550 Jess Parrish Ct , Titusville FL 32796-2147. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Vista Manor Health Care Associates Llc can be contacted via phone (321) 269-2200, or through Wallace, Debra A. via phone (321) 269-2200.

Contact Information

Primary practice address
1550 Jess Parrish Ct Titusville FL 32796-2147
Phone: (321) 269-2200
Fax: (321) 383-4990
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Debra A.
Phone: (321) 269-2200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1580096 Florida

Profile Details

NPI number 1033165436
LBN Legal business name Vista Manor Health Care Associates Llc
DBA Doing business as Vista Manor
Authorized official Wallace, Debra A.
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Mar 22nd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033165436 NPPES
Florida MEDICAID 025252200

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