Vista Maria in Dearborn Heights - Residential Treatment Facility, Emotionally Disturbed Children
Vista Maria - NPI 1477639458
Vista Maria is a Residential Treatment Facility, Emotionally Disturbed Children in Dearborn Heights, Michigan. Vista Maria practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Vista Maria is 1477639458. The last update date is 2008-04-07.
Vista Maria's current location address is 20651 W Warren St, Dearborn Heights, Michigan. You can contact this provider via phone number 3132713050 and fax number 3133363460. The mailing address for Vista Maria is 20651 W Warren St, Dearborn Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vista Maria |
|---|---|
| Address | 20651 W Warren St, Dearborn Heights, Michigan |
| Phone Number | 3132713050 |
| Fax Number | 3133363460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Goddin Earl |
| Telephone Number | 3132713050 |
NPI Number Detail
| NPI Number | 1477639458 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 20651 W Warren St |
|---|---|
| City | Dearborn Heights |
| State | Michigan (MI) |
| Post Code | 481272622 |
| Phone Number | 3132713050 |
| Fax Number | 3133363460 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 43 01 052026 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3241311 | MI | -- | |
| 4512114 | MI | -- | |
| 4652830 | MI | -- | |
| 4646898 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Vista Maria by the Centers for Medicare & Medicaid Services (CMS)?
The Vista Maria has been assigned the NPI (National Provider Identifier) 1477639458. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Vista Maria is located?
The Vista Maria is situated at the following address: 20651 W Warren St, Dearborn Heights, MI, 481272622.
What is the area of specialization for Vista Maria, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Vista Maria is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Vista Maria receive the assignment of its 1477639458 from the Centers for Medicare & Medicaid Services?
The Vista Maria was issued its 1477639458 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date were the details related to Vista Maria most recently updated or revised?
The information pertaining to Vista Maria, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-07.