VISTA SOUTH ASSISTED LIVING
NPI 1194866277
Assisted Living Facility in Phoenix, AZ

Q: What is Vista South Assisting Living's NPI number?

The NPI number for Vista South Assisting Living is 1194866277. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is also known as Vista South Assisted Living.

Q: What is Vista South Assisting Living's specialty?

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

Active since February 09, 2007

1010 E SOUTHERN AVE BLDG 2, PHOENIX, AZ 85040(602) 435-3808(602) 276-1854 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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About Vista South Assisted Living NPPES

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

VISTA SOUTH ASSISTED LIVING (NPI 1194866277) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since February 2007. The organization lists Kenneth Ray Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1194866277

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameVISTA SOUTH ASSISTING LIVING

Location Address1010 E SOUTHERN AVE BLDG 2Phoenix, AZ 85040-5108

Mailing Address1010 E Southern Ave Bldg 2Phoenix, AZ 85040-5108 · (602) 435-3808 · Fax (602) 276-1854

Phone(602) 435-3808

Fax(602) 276-1854

Organization SubpartNo

Authorized OfficialKenneth Ray ThomasOwner · (602) 435-3808

Enumeration DateFebruary 9, 2007

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

✔ NPI 1194866277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in AZ · ALH5881

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.

1010 E SOUTHERN AVE BLDG 2, Phoenix, AZ 85040

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Other Names 1

Other NameVista South Assisted Living

Other Identifiers 1

Medicaid174413AZ

Other Providers at the Same Location NPPES

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

TAKETHIA CARTER

Assisted Living Facility

1010 E SOUTHERN AVE BLDG 2
PHOENIX, AZ 85040

Maricopa County (602) 751-8647

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 South Assisting Living's NPI number?

The NPI number for Vista South Assisting Living is 1194866277. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is also known as Vista South Assisted Living.

Where is Vista South Assisting Living located?

Vista South Assisting Living is located at 1010 E Southern Ave Bldg 2, Phoenix, AZ 85040. The listed phone number is (602) 435-3808.

What is Vista South Assisting 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 South Assisting Living was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.