VALLEY VISTA CARE CORPORATION
NPI 1770599409
Skilled Nursing Facility in St Maries, ID

NPI Status: Active since August 01, 2006

Contact Information

820 ELM ST
ST MARIES, ID
ZIP 83861
Phone: (208) 245-4576
Fax: (208) 245-2138

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 13D0646375
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About VALLEY VISTA CARE CORPORATION

This page provides the complete NPI Profile along with additional information for Valley Vista Care Corporation, a provider established in St Maries, Idaho operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1770599409 assigned on August 2006. The practitioner's primary taxonomy code is 314000000X with license number 23 (ID). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Kasey D Wilks (Director Of Corporate Compliance)

NPI
1770599409
Provider Legal Name
VALLEY VISTA CARE CORPORATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
820 ELM ST ST MARIES, ID 83861
Location Phone
(208) 245-4576
Location Fax
(208) 245-2138
Mailing Address
820 ELM ST ST MARIES, ID 83861
Mailing Phone
(208) 245-4576
Mailing Fax
(208) 245-2138
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2006
Last Update Date
04-09-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
23
License State
ID
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KASEY D WILKS

Authorized Official Title
DIRECTOR OF CORPORATE COMPLIANCE
Authorized Official Phone
(208) 245-4576

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
002610900MEDICAID (05)ID 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0646375
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MICHAEL MEZA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Valley Vista Care Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VALLEY VISTA CARE CORPORATION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770599409, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 0 + 9 + 1 + 8 + 4 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1770599409.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
820 ELM ST
ST MARIES, ID 83861
Occupational Therapist
820 ELM ST
SAINT MARIES, ID 83861
Family Medicine
820 ELM ST
ST MARIES, ID 83861
Speech-Language Pathologist
820 ELM ST
ST MARIES, ID 83861

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770599409, enumerated as an "organization" on August 01, 2006.

The provider is located at 820 ELM ST ST MARIES, ID 83861 and the phone number is (208) 245-4576.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.