VISTA ASSISTED LIVING
NPI 1063723872
Assisted Living Facility in St Maries, ID

Active since June 25, 2010
820 ELM DR, ST MARIES, ID 83861(208) 245-4576(208) 245-2138 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vista Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA ASSISTED LIVING (NPI 1063723872) is a healthcare organization registered as an assisted living facility in St Maries, Idaho and active in the NPI registry since June 2010. The organization lists Kasey Wilks, Director Of Corporate Compliance, as its authorized official.

NPPES Registry Identity

NPI1063723872
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVISTA ASSISTED LIVING
Location Address820 ELM DRSt Maries, ID 83861-2119
Mailing Address243 N 300 ERupert, ID 83350-9491 · (208) 436-3332 · Fax (208) 436-1289
Fax(208) 245-2138
Organization SubpartYesParent: Valley Vista Care Corporation
Authorized OfficialKasey WilksDirector Of Corporate Compliance · (208) 245-4576
Enumeration DateJune 25, 2010
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
NPI 1063723872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

820 ELM DR, St Maries, ID 83861

Other Identifiers 1

MedicaidM0026110-006ID

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
820 ELM DR
ST MARIES, ID 83861
Speech-Language Pathologist
820 ELM DR
ST MARIES, ID 83861
Non-emergency Medical Transport (VAN)
820 ELM DR
ST MARIES, ID 83861
In Home Supportive Care
820 ELM DR
ST MARIES, ID 83861
Non-emergency Medical Transport (VAN)
820 ELM DR
ST MARIES, ID 83861
Occupational Therapist
820 ELM DR
ST MARIES, ID 83861
Assisted Living Facility
820 ELM DR
ST MARIES, ID 83861
In Home Supportive Care
820 ELM DR
ST MARIES, ID 83861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vista Assisted Living's NPI number?

The NPI number for Vista Assisted Living is 1063723872. It was assigned to this organization in the NPPES registry on June 25, 2010.

Where is Vista Assisted Living located?

Vista Assisted Living is located at 820 Elm Dr, St Maries, ID 83861. The listed phone number is (208) 245-4576.

What is Vista Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Vista Assisted Living was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.