MOSCOW OF OLYMPUS LLC NPI 1689391161

NPI Information

NPI: 1689391161
Provider Name: MOSCOW OF OLYMPUS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
640 N EISENHOWER ST
MOSCOW, ID
ZIP 83843
Phone: (208) 401-9600
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MOSCOW OF OLYMPUS LLC is an assisted living facility in Moscow, 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. MOSCOW OF OLYMPUS LLC NPI is 1689391161. The provider is registered as an organization entity type.

The provider's business location address is:

640 N EISENHOWER ST
MOSCOW, ID
ZIP 83843-588
Phone: (208) 401-9600
Fax: (208) 314-0639

The provider's authorized official is Heather Baird .
The authorized official title is Assistant General Counsel and has the following contact phone number (208) 401-9600.

The enumeration date for this NPI number is 10/25/2022 and was last updated on 2/23/2023.

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
1	310400000X	Assisted Living Facility				Yes

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: 5/5/2024

NPI Synchronization or Removal

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