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OROFINO RETIREMENT PROPERTIES INC NPI 1659723773


NPI Information

NPI: 1659723773
Provider Name: OROFINO RETIREMENT PROPERTIES INC

Doing Business As: BROOKSIDE LANDING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
431 JOHNSON AVE
OROFINO, ID
ZIP 83544
Phone: (208) 476-2000
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OROFINO RETIREMENT PROPERTIES INC is an assisted living facility in Orofino, 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. OROFINO RETIREMENT PROPERTIES INC NPI is 1659723773. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookside Landing.

The provider's business location address is:

431 JOHNSON AVE
OROFINO, ID
ZIP 83544-516
Phone: (208) 476-2000
Fax: (208) 476-7748

The provider's authorized official is Daniel L Dunham .
The authorized official title is Executive Director and has the following contact phone number (208) 476-2000.

The enumeration date for this NPI number is 7/13/2016 and was last updated on 7/13/2016.


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 FacilityRC680IDAHOYes

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
1M8059959MEDICAIDIDAHO

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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