Provider Demographics
NPI:1720818131
Name:VISTAS CARE INC
Entity type:Organization
Organization Name:VISTAS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AZIZ
Authorized Official - Middle Name:I
Authorized Official - Last Name:MUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-819-4594
Mailing Address - Street 1:3556 S 5600 W STE 1
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-2815
Mailing Address - Country:US
Mailing Address - Phone:385-220-9411
Mailing Address - Fax:
Practice Address - Street 1:1600 W 2200 S STE 101
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-1466
Practice Address - Country:US
Practice Address - Phone:385-220-9411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health