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VERANDA SENIOR LIVING LLC NPI 1508329343


NPI Information

NPI: 1508329343
Provider Name: VERANDA SENIOR LIVING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 13D2192420

Address:
6280 N FOX RUN WAY
MERIDIAN, ID
ZIP 83646
Phone: (208) 863-6379
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VERANDA SENIOR LIVING LLC is an assisted living facility in Meridian, 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. VERANDA SENIOR LIVING LLC NPI is 1508329343. The provider is registered as an organization entity type.

The provider's business location address is:

6280 N FOX RUN WAY
MERIDIAN, ID
ZIP 83646-791
Phone: (208) 863-6379

The provider's authorized official is Ashley Taylor .
The authorized official title is President & Ceo and has the following contact phone number (208) 639-0009.

The CLIA number assigned to this NPI record is 13D2192420 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2019 and was last updated on 4/9/2019.


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
1310400000XAssisted Living FacilityYes

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
1A0003465MEDICAIDIDAHO

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: 11/14/2023

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.