PEORIA VISTA CARE LLC
NPI 1912659178
Assisted Living Facility in Peoria, AZ

Q: What is Peoria Vista Care LLC's NPI number?

The NPI number for Peoria Vista Care LLC is 1912659178. It was assigned to this organization in the NPPES registry on January 19, 2022.

Q: What is Peoria Vista Care LLC's specialty?

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

Active since January 19, 2022

10430 W ROYAL PALM RD, PEORIA, AZ 85345(623) 440-5391 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, May 1, 2024, Jan 19, 2022 (3 updates tracked since 2022).

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About Peoria Vista Care Llc NPPES

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

PEORIA VISTA CARE LLC (NPI 1912659178) is a healthcare organization registered as an assisted living facility in Peoria, Arizona and active in the NPI registry since January 2022. The organization lists Stevan Polus, Owner, as its authorized official.

NPPES Registry Identity

NPI1912659178

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePEORIA VISTA CARE LLC

Location Address10430 W ROYAL PALM RDPeoria, AZ 85345-7537

Mailing Address10430 W Royal Palm RdPeoria, AZ 85345-7537 · (623) 440-5391

Phone(623) 440-5391

Organization SubpartNo

Authorized OfficialStevan PolusOwner · (602) 481-8746

Enumeration DateJanuary 19, 2022

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1912659178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

10430 W ROYAL PALM RD, Peoria, AZ 85345

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Other Names 1

Doing Business AsPeoria Vista Care Llc

Other Providers at the Same Location NPPES

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

MR. STEVAN A POLUS

Assisted Living Facility

10430 W ROYAL PALM RD
PEORIA, AZ 85345

Maricopa County (602) 481-8746

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 Peoria Vista Care LLC's NPI number?

The NPI number for Peoria Vista Care LLC is 1912659178. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Peoria Vista Care LLC located?

Peoria Vista Care LLC is located at 10430 W Royal Palm Rd, Peoria, AZ 85345. The listed phone number is (623) 440-5391.

What is Peoria Vista Care LLC'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 Peoria Vista Care LLC was last updated on June 21, 2024. 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.