Healthcare Provider Details

I. General information

NPI: 1528855111
Provider Name (Legal Business Name): VISTA SPECIALTY HOSPITAL OF WEST MONROE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6198 CYPRESS ST
WEST MONROE LA
71291-9013
US

IV. Provider business mailing address

211 S STATE COLLEGE BLVD UNIT 10212
ANAHEIM CA
92806-4116
US

V. Phone/Fax

Practice location:
  • Phone: 318-396-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: SWENDA MOREH BEITPOULICE
Title or Position: VP & COO
Credential:
Phone: 562-453-7474