Provider Demographics
NPI:1508479643
Name:REMI VISTA, INC.
Entity Type:Organization
Organization Name:REMI VISTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CONTRACTS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-245-5808
Mailing Address - Street 1:PO BOX 494100
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-4100
Mailing Address - Country:US
Mailing Address - Phone:530-245-5805
Mailing Address - Fax:530-245-0340
Practice Address - Street 1:10387 PORTA DEGO WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-9289
Practice Address - Country:US
Practice Address - Phone:530-224-4716
Practice Address - Fax:530-224-7168
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMI VISTA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-28
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Multi-Specialty
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children