BELMONT MANAGEMENT, INC. (NPI# 1922135789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922135789 |
| Entity Type | Organization |
| Organization Name | BELMONT MANAGEMENT, INC. |
| Other Organization Name | CRESTVIEW CARE CENTER - HOME #2 |
| Practice Address |
4024 Mountain Loop Pocatello ID 83204-4951 |
| Mailing Address |
3155 River Rd S Ste 100 Salem OR 97302-9819 |
| Practice Telephone | 2082330735 |
| Mailing Telephone | 5033625235 |
| Mailing Fax Number | 5035853267 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JASON MCARTHUR (CFO) |
| Authorized Official Telephone | 5033625235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | LT108ID | 05 |
| Other Name | Type Code |
|---|---|
| Crestview Care Center - Home #2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497069132 | Belmont Management, Inc. | Community/Behavioral Health | 4806 Hawthorne Rd, Chubbuck, ID 83202-2325 | 2010-08-05 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1285761148 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 3625 Vaughn Ave, Pocatello, ID 83204-2062 | 2007-02-27 |
| 1407161631 | Belmont Management, Inc. | Nursing Care | 3625 Vaughn Ave, Pocatello, ID 83204-2062 | 2010-08-12 |
| 1639391881 | Belmont Management, Inc. | Nursing Care | 3625 Vaughn Ave, Pocatello, ID 83204-2062 | 2007-05-03 |
| Street Address |
4024 MOUNTAIN LOOP |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1134340011 | South Park, Inc. | Intermediate Care Facility, Mentally Retarded | 3875 Bannock Hwy, Pocatello, ID 83204-4405 | 2007-05-01 |
| 1205056538 | South Park, Inc. | Intermediate Care Facility, Mentally Retarded | 1722 Church Hill Downs, Pocatello, ID 83201 | 2007-04-27 |
| 1295954139 | South Park, Inc. | Intermediate Care Facility, Mentally Retarded | 2369 Rulon Ave, Pocatello, ID 83201-1881 | 2007-04-25 |
| 1285761148 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 3625 Vaughn Ave, Pocatello, ID 83204-2062 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962755868 | State of Idaho | Intermediate Care Facility, Mentally Retarded | 1182 West Kyler Ave, Hayden, ID 83835 | 2012-10-17 |
| 1861742736 | Brenda Elaine Dilbeck | Intermediate Care Facility, Mentally Retarded | 4515 N Glenwood St, Boise, ID 83704-3012 | 2012-09-18 |
| 1760686687 | Idaho Falls Group Homes | Intermediate Care Facility, Mentally Retarded | 950 Periska Way, Idaho Falls, ID 83402-5141 | 2007-06-13 |
| 1235333576 | Idaho Falls Group Homes | Intermediate Care Facility, Mentally Retarded | 4360 Wanda St, Ammon, ID 83406-6878 | 2007-06-12 |
| 1447454798 | Idaho Falls Group Homes | Intermediate Care Facility, Mentally Retarded | 3612 Summit Run Trl, Idaho Falls, ID 83404-8247 | 2007-06-12 |
| 1730394644 | Independent Living Services, Inc. | Intermediate Care Facility, Mentally Retarded | 11577 Freedom Dr, Boise, ID 83713-3650 | 2007-05-14 |
| 1013122928 | Independent Living Services, Inc. | Intermediate Care Facility, Mentally Retarded | 10349 Summerwind Dr, Boise, ID 83704-3953 | 2007-05-14 |
| 1295948941 | Independent Living Services, Inc. | Intermediate Care Facility, Mentally Retarded | 10528 W Milclay St, Boise, ID 83704-3940 | 2007-05-08 |
| 1487867123 | Independent Living Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1736 N Five Mile Rd, Boise, ID 83713-5408 | 2007-05-08 |
| 1689896805 | Tomorrow's Hope Inc | Intermediate Care Facility, Mentally Retarded | 1655 Fairview Ave, Suite 100, Boise, ID 83702-0000 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BELMONT MANAGEMENT, INC..
| 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.