SHOSHONE REHAB AND LIVING CENTER (NPI# 1750309795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750309795 |
| Entity Type | Organization |
| Organization Name | SHOSHONE REHAB AND LIVING CENTER |
| Practice Address |
511 East 4th Street Shoshone ID 83352 |
| Mailing Address |
511 E 4th St Shoshone ID 83352-5380 |
| Practice Telephone | 2088862228 |
| Practice Fax Number | 2088862549 |
| Mailing Telephone | 2088862228 |
| Mailing Fax Number | 2088862549 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHARON RAE SULLIVAN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 2088862228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 20 | ID | Nursing & Custodial Care Facilities |
| Street Address |
511 EAST 4TH STREET |
| City | SHOSHONE |
| State | ID |
| Zip Code | 83352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053860767 | Gooding Pharmacy Inc | Pharmacy | 120 South Apple, Suite A, Shoshone, ID 83352 | 2016-09-23 |
| 1851740716 | Matthew E. Kent, O.d.,p.a. | Optometrist | 520 N Greenwood St., Shoshone, ID 83352 | 2016-06-10 |
| 1689814980 | Lincoln Community Health | Community/Behavioral Health | 113 South Apple Street, Shoshone, ID 83352 | 2009-02-26 |
| 1154572311 | Southern Idaho Diabetes Education Program | Clinic/Center | 108 Nw Rail St, Shoshone, ID 83352 | 2008-10-07 |
| 1487648952 | Matthew E. Kent | Optometrist | 520 N Greenwood Street, Shoshone, ID 83352 | 2005-09-09 |
| 1619119864 | Ahs of Idaho | Residential Treatment Facility, Emotionally Disturbed Children | 911 Preacher Creek Rd, Shoshone, ID 83352-5061 | 2009-04-02 |
| 1497394506 | Krista Profit | Behavior Technician | 609 E 5th St, Shoshone, ID 83352-5191 | 2020-01-06 |
| 1043277635 | Keith E Davis | Family Medicine | 113 S Apple St, Shoshone, ID 83352-5287 | 2006-04-27 |
| 1619494614 | Barbara Hapayan | Nurse Practitioner | 113 S Apple St, Shoshone, ID 83352-5287 | 2017-08-29 |
| 1982055166 | Andrea Madson | Counselor | 113 S Apple St, Shoshone, ID 83352-5287 | 2016-06-28 |
| Find all providers in zip 83352 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518115773 | Charolais Care Iv, Inc | Skilled Nursing Facility | 511 E 4th St, Shoshone, ID 83352-5380 | 2008-08-29 |
| 1124335476 | Lincoln County Care Center LLC | Skilled Nursing Facility | 511 E 4th St, Shoshone, ID 83352-5380 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1497233514 | Boise Nursing and Rehab Center LLC | Skilled Nursing Facility | 1140 N Allumbaugh St, Boise, ID 83704-8716 | 2018-07-31 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1871042663 | Ahc of Lewiston, LLC | Skilled Nursing Facility | 2852 Juniper Dr, Lewiston, ID 83501-4719 | 2016-09-22 |
| 1063966638 | Boise West of Cascadia, LLC | Skilled Nursing Facility | 8211 Ustick Road, Boise, ID 83704-5756 | 2016-08-11 |
| 1861946436 | Bellevue of Cascadia, LLC | Skilled Nursing Facility | 620 N. 6th Street, Bellevue, ID 83313 | 2016-08-11 |
| 1437603008 | Twin Falls of Cascadia, LLC | Skilled Nursing Facility | 674 Eastland Drive, Twin Falls, ID 83301-6846 | 2016-08-11 |
| 1235683806 | Payette of Cascadia, LLC | Skilled Nursing Facility | 1019 3rd Avenue South, Payette, ID 83661-2832 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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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.