NPI age
19 years
Enumerated 2006-11-30
● Active Type 2 · Organization
Valley Vista Care Corporation
Valley Vista Care Corporation is 1 of 1 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mills
Corporate Compliance Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1 active assisted living facility providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4433 Beverland Road
MacKay, ID 832510239
Mailing address
820 Elm St
St Maries, ID 838612119
Authorized official
Gail Mills
Corporate Compliance Manager
📞 2082454576
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jefferson Kraczek, LCSW Counselor NPI 1093087033
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Countryside Assisted Living
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.