Provider Demographics
NPI:1245639616
Name:VISTA HOSPICE CARE INC
Entity type:Organization
Organization Name:VISTA HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-295-6452
Mailing Address - Street 1:550 W VISTA WAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-5717
Mailing Address - Country:US
Mailing Address - Phone:760-295-6452
Mailing Address - Fax:760-295-7678
Practice Address - Street 1:550 W VISTA WAY
Practice Address - Street 2:SUITE 310
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5717
Practice Address - Country:US
Practice Address - Phone:760-407-6425
Practice Address - Fax:760-407-6426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based