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YELLOWSTONE CARE CENTER INC. NPI 1043348261


NPI Information

NPI: 1043348261
Provider Name: YELLOWSTONE CARE CENTER, INC.

Other Name: DBA YELLOWSTONE GROUP HOMES - #1

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3335 SPRINGFIELD CIR
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 542-5378
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YELLOWSTONE CARE CENTER, INC. is an intermediate care facility mentally retarded in Idaho Falls, ID. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. YELLOWSTONE CARE CENTER, INC. NPI is 1043348261. The provider is registered as an organization entity type.
The provider Other Name Is Dba Yellowstone Group Homes - #1.

The provider's business location address is:

3335 SPRINGFIELD CIR
IDAHO FALLS, ID
ZIP 83404-801
Phone: (208) 542-5378

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 3/1/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesIDAHOYes

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

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