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MOUNTAIN VISTA FARM
NPI 1538222138
Substance Abuse Rehabilitation Facility in Glen Ellen, CA

Active since December 18, 2006CLIA 05D2335116 · Waiver
3020 WARM SPRINGS RD, GLEN ELLEN, CA 95442(707) 996-6716(707) 996-0609 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mountain Vista Farm NPPES

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

MOUNTAIN VISTA FARM (NPI 1538222138) is a healthcare organization registered as a substance abuse rehabilitation facility in Glen Ellen, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Jonathan Fong, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1538222138
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNEW VISTA RECOVERY, INC.
Location Address3020 WARM SPRINGS RDGlen Ellen, CA 95442-8730
Mailing Address3020 Warm Springs RdGlen Ellen, CA 95442-8730 · (707) 996-6716 · Fax (707) 996-0609
Phone(707) 996-6716
Fax(707) 996-0609
Organization SubpartNo
Authorized OfficialJonathan FongDirector Of Managed Care · (707) 996-6716
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538222138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 490025AP
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3020 WARM SPRINGS RD, Glen Ellen, CA 95442
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Other Names 1

Doing Business AsMountain Vista Farm

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2335116

New Vistas Recovery, Inc · Glen Ellen, CA
Active · expires Dec 4, 2027
CLIA Number05D2335116
Laboratory TypeSubstance Use Treatment
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorPitr Conry
Laboratory Phone(707) 996-6716
Laboratory LocationNew Vistas Recovery, Inc3020 Warm Springs Road, Glen Ellen, CA 95442
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 New Vista Recovery, Inc.'s NPI number?

The NPI number for New Vista Recovery, Inc. is 1538222138. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Mountain Vista Farm.

Where is New Vista Recovery, Inc. located?

New Vista Recovery, Inc. is located at 3020 Warm Springs Rd, Glen Ellen, CA 95442. The listed phone number is (707) 996-6716.

What is New Vista Recovery, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does New Vista Recovery, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2335116) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Vista Recovery, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.