Sunset Vista Adult Residential Care

LBN: Sunset Vista, Inc
Sunset Vista Adult Residential Care is an health care organization with primary practice located at 3650 N Fowler Ave , Silver City NM 88061-7202. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Sunset Vista, Inc can be contacted via phone (575) 538-9095, or through Sircy, Alton Ray via phone (505) 538-9095.

Contact Information

Primary practice address
3650 N Fowler Ave Silver City NM 88061-7202
Phone: (575) 538-9095
Fax: (575) 538-0035
Website:
Map and Directions
Authorized official contact:
Name: Sircy, Alton Ray LPCC
Phone: (505) 538-9095

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5563 New Mexico
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1770616591
LBN Legal business name Sunset Vista, Inc
DBA Doing business as Sunset Vista Adult Residential Care
Authorized official Sircy, Alton Ray LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 20th, 2017 - about 9 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 1770616591 NPPES
New Mexico MEDICAID 0000D3756

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