OrganizationActive
Vista Adult Care LLC
NPI 1285024679 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Sparks, NV
Provider details
- NPI number
- 1285024679
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Vista Adult Care LLC
- Organization subpart
- Yes
- Authorized official
- Leoncio Molino, Owner/Manager.(775) 338-2320
- License
- 5849AGC (NV)
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 5849AGC (NV)
Residential Treatment Facilities
Practice location
3056 Waterfield Drive
Sparks, NV 89434-1627
Phone: (775) 338-2320
Fax: (775) 360-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1079 Ricco Drive
Sparks, NV 89434-6603
Registry dates
- Enumerated
- 2015-01-23
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.