Provider Demographics
NPI:1477394344
Name:VISTA TRINI INVESTMENTS I INC
Entity type:Organization
Organization Name:VISTA TRINI INVESTMENTS I INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ALLYSON
Authorized Official - Last Name:DE SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-842-8195
Mailing Address - Street 1:2297 MIDDLE COUNTRY RD STE D
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3666
Mailing Address - Country:US
Mailing Address - Phone:631-862-5252
Mailing Address - Fax:
Practice Address - Street 1:2297 MIDDLE COUNTRY RD STE D
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3666
Practice Address - Country:US
Practice Address - Phone:631-862-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care