LIVING RESOURCES OF IDAHO, LLC (NPI# 1568979326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568979326 |
| Entity Type | Organization |
| Organization Name | LIVING RESOURCES OF IDAHO, LLC |
| Practice Address |
5571 N Glenwood St Garden City ID 83714-1336 |
| Practice Telephone | 2086160060 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | CYNTHIA SAUER (EXECUTIVE DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 2086160060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | W192684 | ID | Agencies |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
5571 N GLENWOOD ST |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346451796 | Money Minders Plus, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6012 Merriman Rd, Garden City, MI 48135-1973 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016947 | Intrinsic Holdings Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9006 E Cedar Point Ln, Idaho Falls, ID 83401-4834 | 2019-04-10 |
| 1003145533 | Ambitions of Idaho, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 915 Parkcentre Way, Nampa, ID 83651-1745 | 2009-12-11 |
| 1578724910 | Grand Teton Service Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2008-06-18 |
| 1861687329 | Seven Oaks Community Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 583 N Larri Lee St, Post Falls, ID 83854 | 2007-09-07 |
| 1174742217 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1210 W Boone Ave, Nampa, ID 83651-1815 | 2007-04-25 |
| 1891913026 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 N Gem St, Nampa, ID 83651-2267 | 2007-04-23 |
| 1467670448 | Communicare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 180 E Park St, Weiser, ID 83672-2011 | 2007-04-23 |
| 1093933186 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2650 S Pond St, Boise, ID 83705-3839 | 2007-04-23 |
| 1871711861 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2903 Cougar Ave, Nampa, ID 83687-9108 | 2007-04-23 |
| 1053539163 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4150 Leland Way, Boise, ID 83709-4606 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.