P Praxis·MD
● Active Type 2 · Organization Subpart

Vista Assisted Living

Assisted Living Facility·St Maries, ID· NPI 1063723872 · Enumerated 2010 · 15 years on NPI
Vista Assisted Living is 1 of 201 assisted living facility organizations in Idaho.
NPI age
15 years
Enumerated 2010-06-25
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilks
Director Of Corporate Compliance
Last NPPES update
2025-04-09
Source: monthly bulk 2026-05

How this organization compares

Across 201 active assisted living facility providers in Idaho.

NPI age
15 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-06Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
820 Elm Dr
St Maries, ID 838612119
📞 2082454576fax 2082452138
Mailing address
243 N 300 E
Rupert, ID 833509491
📞 2084363332fax 2084361289

Authorized official

Kasey Wilks
Director Of Corporate Compliance
📞 2082454576

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Assisted Living Facility Primary
    A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
    taxonomy 310400000X

Identifiers

TypeValueNotes
05 (ID) M0026110-006

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

Subpart of Valley Vista Care Corporation.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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