YELLOWSTONE CARE CENTER INC. NPI 1548397417

NPI Information

  • NPI: 1548397417
  • Provider Name: YELLOWSTONE CARE CENTER, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: YELLOWSTONE GROUP HOMES - #2
  • Address: 3245 SUNNYBROOK LN
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 542-5306

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NPI Details

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 1548397417. The provider is registered as an organization entity type.
The provider Other Name Is Yellowstone Group Homes - #2.

The provider's business location address is:

3245 SUNNYBROOK LN
IDAHO FALLS, ID
ZIP 83404-484
Phone: (208) 542-5306

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 2/27/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesIDAHOYes

What is NPI?

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This page was last updated on: 3/30/2025

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