CLEARWATER CARE CENTER INC. NPI 1790202208

NPI Information

CLEARWATER CARE CENTER, INC. is an intermediate care facility mentally retarded in Twin Falls, ID. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CLEARWATER CARE CENTER, INC. NPI is 1790202208. The provider is registered as an organization entity type.
The provider Other Name Is Blake View Home.

The provider's business location address is:

1411 FALLS AVE E STE 703
TWIN FALLS, ID
ZIP 83301-455
Phone: (208) 734-8973
Fax: (208) 734-1075

The provider's authorized official is Rene Stephens .
The authorized official title is Administrator and has the following contact phone number (208) 734-8973.

The enumeration date for this NPI number is 8/25/2017 and was last updated on 7/21/2022.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.