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YELLOWSTONE CARE CENTER INC. NPI 1447565551


NPI Information

NPI: 1447565551
Provider Name: YELLOWSTONE CARE CENTER, INC.

Other Name: RES HAB DIRECT CARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
540 W SUNNYSIDE
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 523-9839
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YELLOWSTONE CARE CENTER, INC. is a nursing care in Idaho Falls, ID. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. YELLOWSTONE CARE CENTER, INC. NPI is 1447565551. The provider is registered as an organization entity type.
The provider Other Name Is Res Hab Direct Care.

The provider's business location address is:

540 W SUNNYSIDE
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 523-9839
Fax: (208) 522-0224

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 8/12/2010 and was last updated on 8/12/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing Care000143822IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M8070066MEDICAIDIDAHO
2807006600MEDICAIDIDAHO

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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