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COUNTRYSIDE ASSISTED LIVING
NPI 1780751966
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Mackay, ID

Active since November 30, 2006
4433 BEVERLAND ROAD, MACKAY, ID 83251(208) 588-2600(208) 588-3104 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Countryside Assisted Living NPPES

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

COUNTRYSIDE ASSISTED LIVING (NPI 1780751966) is a healthcare organization registered as an assisted living, behavioral disturbances in Mackay, Idaho and active in the NPI registry since November 2006. The organization lists Gail Mills, Corporate Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1780751966
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameVALLEY VISTA CARE CORPORATION
Location Address4433 BEVERLAND ROADMackay, ID 83251-0239
Mailing Address820 Elm StSt Maries, ID 83861-2119 · (208) 245-4576 · Fax (208) 245-2138
Phone(208) 588-2600
Fax(208) 588-3104
Organization SubpartNo
Authorized OfficialGail MillsCorporate Compliance Manager · (208) 245-4576
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780751966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
4433 BEVERLAND ROAD, Mackay, ID 83251
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Other Names 1

Doing Business AsCountryside Assisted Living

Other Providers at the Same Location NPPES 2

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

IDAHO PSYCHOLOGICAL RESOURCES LLC
Community/Behavioral Health
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-5770
MR. JEFFERSON H KRACZEK LCSW
Social Worker (Clinical)
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-2770

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 Valley Vista Care Corporation's NPI number?

The NPI number for Valley Vista Care Corporation is 1780751966. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Countryside Assisted Living.

Where is Valley Vista Care Corporation located?

Valley Vista Care Corporation is located at 4433 Beverland Road, Mackay, ID 83251. The listed phone number is (208) 588-2600.

What is Valley Vista Care Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Valley Vista Care Corporation 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.