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NPI Code Detail

MEDICARE: VISTA CONTINUING CARE CENTER INC

MEDICARE: VISTA CONTINUING CARE CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility111815TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033112842
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTA CONTINUING CARE CENTER INC
Provider Business Mailing Address
First Line : 4300 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2118
Country : US
Telephone Number : 713-946-6787
Fax Number : 713-946-1337
Provider Business Practice Location Address
First Line : 4300 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2118
Country : US
Telephone Number : 713-946-6787
Fax Number : 713-946-1337
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. STEPHEN COHEN
Credential :
Telephone Number : 903-569-9023
Provider Enumeration Date : 05/24/2005
Last Update Date : 11/04/2010

Similar Medicare Providers

1154850329 — PASADENA SENIOR CARE, LLC
Practice Location Address:
4300 VISTA RD
PASADENA, TX
77504-2118
Practice Phone: 713-946-6787
Practice Fax:
1457832834 — JENNIFER ELIZABETH ALVAREZ
Practice Location Address:
4300 VISTA RD
PASADENA, TX
77504-2118
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Practice Fax:
1356822332 — MRS. MARIA CABALLERO
Practice Location Address:
4300 VISTA RD
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77504-2118
Practice Phone: 713-946-6787
Practice Fax:
1659847747 — MR. NNACHEBE FESTUS EZECHIGBO
Practice Location Address:
4300 VISTA RD
PASADENA, TX
77504-2118
Practice Phone: 713-946-6787
Practice Fax:
1417845215 — 4300 VISTA RD OPCO LLC
Practice Location Address:
4300 VISTA RD
PASADENA, TX
77504-2118
Practice Phone: 713-946-6787
Practice Fax: 713-946-0352
1174146351 — MR. STAN SMITH SMITH LCSW
Practice Location Address:
330 RAYMONDALE DR APT 2
SOUTH PASADENA, CA
91030-2118
Practice Phone: 818-632-6154
Practice Fax:

Directions to “VISTA CONTINUING CARE CENTER INC ” Practice Location

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