Vista Grande Villa
Vista Grande Villa is a healthcare organization registered as Skilled Nursing Facility in Jackson, MI, holding Type 2 (organization) NPI 1477537397 since 2005. The authorized official on file is Ellen Keatley, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477537397 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vista Grande Villa |
| Practice address | 2251 SPRINGPORT RD, Jackson, MI, 49202 |
| Phone | 5177870222 |
| Fax | 5177876909 |
| Enumeration date | 2005-12-05 |
| Last updated in NPPES | 2011-11-29 |
Authorized official
| Name | Ellen Keatley |
|---|---|
| Title | President |
| Phone | 5177870222 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 384210 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09716 | Other | MI | BLUE CROSS BLUE SH. OF MI |
| 2081106 | Medicaid | MI | — |
Copy-ready billing details
Provider: Vista Grande Villa NPI: 1477537397 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 2251 SPRINGPORT RD, Jackson, MI, 49202
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326057738 | Welcome Pharmacies, Inc. | Organization | Durable Medical Equipment & Medical Supplies | Jackson, MI |
| 1629161542 | Deborah Harshbarger | Individual | Pharmacist | Jackson, MI |
Verify this record
Cross-check NPI 1477537397 against the authoritative CMS record: view Vista Grande Villa on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Vista Grande Villa?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-29.