ETROS LIVING LLC NPI 1568972016

NPI Information

NPI: 1568972016
Provider Name: ETROS LIVING, LLC

Former Legal Business Name: OPUS LIVING, LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
840 E DALTON AVE
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 665-2100
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ETROS LIVING, LLC is an assisted living facility in Coeur D Alene, ID. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ETROS LIVING, LLC NPI is 1568972016. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Opus Living, Llc.

The provider's business location address is:

840 E DALTON AVE
COEUR D ALENE, ID
ZIP 83815-338
Phone: (208) 665-2100
Fax: (208) 665-9250

The provider's authorized official is Amber Williams .
The authorized official title is Ceo and has the following contact phone number (845) 248-4554.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 3/17/2018.

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	Primary
1	310400000X	Assisted Living Facility		Yes
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
3	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
4	311500000X	Alzheimer Center (Dementia Center)		No
5	315D00000X	Hospice, Inpatient		No

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	RC-1065	OTHER	IDAHO	IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
2	RC-1066	OTHER	IDAHO	IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
3	RC-1067	OTHER	IDAHO	IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE

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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