VISTA CARE, LLC – NPI #1366529414
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

VISTA CARE, LLC is an AHC clinic located in CHINLE, AZ. NPPES has assigned the NPI number 1366529414 to VISTA CARE, LLC on November 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VISTA CARE, LLC below.

NPI Profile for
VISTA CARE, LLC

NPI Number
1366529414
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VISTA CARE, LLC
Primary location
NAVAJO ROUTE 7
WESTSIDE PRESBYTERIAN CHURCH
CHINLE, AZ 86503
Phone: (928) 674-3818 Fax: (928) 674-5814
Mailing address
PO BOX 1820
CHINLE, AZ 86503-1820
Phone: (928) 674-3818 Fax: (928) 674-5814
Organization Subpart
No
Authorized Official
BROOKE BALCH
CFO OF THREE SPRINGS INC.
Phone: (256) 880-3339
Updated
Identifiers

Identifiers for VISTA CARE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ611807
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
AZ NAVAJO NATION WAIVER
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
AZ NAVAJO NATION WAIVER

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.