MEDICARE: VISTA CARE, LLC

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
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center	NAVAJO NATION WAIVER	AZ
2	261QM0850X	Adult Mental Health Clinic/Center	NAVAJO NATION WAIVER	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1326125402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1093
Second Line	:
City	:	ST MICHAELS
State	:	AZ
Zip	:	86511-1093
Country	:	US
Telephone Number	:	928-674-3818
Fax Number	:	928-674-5814

Provider Business Practice Location Address
First Line	:	HWY 254 - 1 MILE SE FROM CHAPTER HOUSE
Second Line	:	WESTSIDE - PINK BLDG/GRAY TOP
City	:	ST. MICHAELS
State	:	AZ
Zip	:	86511
Country	:	US
Telephone Number	:	928-810-3707
Fax Number	:	928-810-3713

Authorized Official
Title or Position	:	CFO OF THREE SPRINGS, INC.
Name	:	MR. BROOKE E BALCH
Credential	:
Telephone Number	:	256-880-3339

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1033166038 — SUSAN L ELIZONDO M.D.
Practice Location Address:

359-A WEST HIGHWAY 264
ST MICHAELS, AZ
86511-0370

Practice Phone: 928-810-3800
Practice Fax: 928-810-3801

1326147893 — NORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT
Practice Location Address:

359-A WEST HIGHWAY 264
ST MICHAELS, AZ
86511-0370

Practice Phone: 928-810-3800
Practice Fax: 928-810-3811

1235353806 — ST. MICHAELS ASSOCIATION FOR SPECIAL EDUCATION
Practice Location Address:

1 MILE NORTH OF RT. 264 ON MUSTANG ROAD
ST. MICHAELS, AZ
86511-0100

Practice Phone: 928-871-2822
Practice Fax:

1275757460 — DOLORES ARLT SULLIVAN SLP
Practice Location Address:

1 MI N OF 264 MUSTANG ROAD
ST. MICHAELS, AZ
86511-0100

Practice Phone: 928-871-2822
Practice Fax: 928-871-2837

1417171810 — MS. PATRICIA F HOGAN LCSW, LMT
Practice Location Address:

MUSTANG ROAD 1 MILE NORTH OF RT 264 , ST MICHAELS ASSOC FOR SPECIAL EDUCATION
ST MICHAELS, AZ
86511-0100

Practice Phone: 928-871-2899
Practice Fax: 928-871-4873

1124249362 — AMANDA L BEEKMAN MA, OTRL
Practice Location Address:

MUSTANG RD ONE MILE NORTH OF HWY 264
ST MICHAELS, AZ
86511-0100

Practice Phone: 928-871-2822
Practice Fax: 928-871-2837

Directions to “VISTA CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.