Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vista Maria

Emotionally Disturbed Childrens' Residential Treatment Facility in Dearborn Heights, MI · enumerated 2006 · authorized official Earl Goddin, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477639458

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Vista Maria

Practice address 20651 W Warren Ave, Dearborn Heights, MI, 48127

Phone (313) 271-3050

Fax (313) 336-3460

Enumeration date Oct 31, 2006

Last updated in NPPES Apr 7, 2008

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 43 01 052026 (MI) Secondary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 43 01 032319 (MI) Secondary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 43 01 036786 (MI) Secondary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 43 01 070436 (MI) Primary

Authorized official

Name Earl Goddin

Title Chief Financial Officer

Phone (313) 271-3050

Other identifiers

Identifier	Type	State	Issuer
3241311	Medicaid	MI	-
4512114	Medicaid	MI	-
4652830	Medicaid	MI	-
4646898	Medicaid	MI	-

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 → Validate an NPI →

Frequently asked questions

Where is Vista Maria located?

The practice location on file with NPPES is in Dearborn Heights, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-07.