MEDICARE: VISTA SPECIALTY HOSPITAL OF WEST MONROE 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	282E00000X	Long Term Care Hospital

General Provider Information

NPI Number	:	1528855111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA SPECIALTY HOSPITAL OF WEST MONROE LLC

Provider Business Mailing Address
First Line	:	211 S STATE COLLEGE BLVD UNIT 10212
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-4116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6198 CYPRESS ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-9013
Country	:	US
Telephone Number	:	318-396-5600
Fax Number	:

Authorized Official
Title or Position	:	VP & COO
Name	:	SWENDA MOREH BEITPOULICE
Credential	:
Telephone Number	:	562-453-7474

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	06/10/2025

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