BELMONT MANAGEMENT INC. NPI 1285761148

NPI Information

NPI: 1285761148
Provider Name: BELMONT MANAGEMENT, INC.

Other Name: BELMONT CARE CENTER - HOME #1

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3625 VAUGHN AVE
POCATELLO, ID
ZIP 83204
Phone: (208) 233-0016
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BELMONT MANAGEMENT, INC. is an intermediate care facility mentally retarded in Pocatello, ID. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BELMONT MANAGEMENT, INC. NPI is 1285761148. The provider is registered as an organization entity type.
The provider Other Name Is Belmont Care Center - Home #1.

The provider's business location address is:

3625 VAUGHN AVE
POCATELLO, ID
ZIP 83204-062
Phone: (208) 233-0016

The provider's authorized official is Jason Mcarthur .
The authorized official title is Cfo and has the following contact phone number (503) 362-5235.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		000681691	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	805059100	MEDICAID	IDAHO
2	LT046ID	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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