VISTA CARE SOUTH DAKOTA, LLC
NPI 1124586037
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sheboygan, WI

Q: What is Vista Care South Dakota, LLC's NPI number?

The NPI number for Vista Care South Dakota, LLC is 1124586037. It was assigned to this organization in the NPPES registry on March 10, 2019.

Q: What is Vista Care South Dakota, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since March 10, 2019

708 ERIE AVE, SHEBOYGAN, WI 53081(920) 694-1102(920) 694-4685 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Jun 24, 2021, Mar 10, 2019 (3 updates tracked since 2019).

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About Vista Care South Dakota, Llc NPPES

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

VISTA CARE SOUTH DAKOTA, LLC (NPI 1124586037) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Sheboygan, Wisconsin and active in the NPI registry since March 2019. The organization lists Timothy Alan Frey, President, as its authorized official.

NPPES Registry Identity

NPI1124586037

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameVISTA CARE SOUTH DAKOTA, LLC

Location Address708 ERIE AVESheboygan, WI 53081-4060

Mailing Address708 Erie AveSheboygan, WI 53081-4060 · (920) 694-1102 · Fax (920) 694-4685

Phone(920) 694-1102

Fax(920) 694-4685

Organization SubpartNo

Authorized OfficialTimothy Alan FreyPresident · (920) 694-1102

Enumeration DateMarch 10, 2019

Last NPPES UpdateMay 1, 20233 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1124586037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

708 ERIE AVE, Sheboygan, WI 53081

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Other Providers at the Same Location NPPES

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

VISTA CARE NEVADA, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

708 ERIE AVE
SHEBOYGAN, WI 53081

Sheboygan County (920) 694-1102

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 Care South Dakota, LLC's NPI number?

The NPI number for Vista Care South Dakota, LLC is 1124586037. It was assigned to this organization in the NPPES registry on March 10, 2019.

Where is Vista Care South Dakota, LLC located?

Vista Care South Dakota, LLC is located at 708 Erie Ave, Sheboygan, WI 53081. The listed phone number is (920) 694-1102.

What is Vista Care South Dakota, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Vista Care South Dakota, LLC was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.