CLEARWATER CARE CENTER INC. NPI 1740303239

NPI Information

  • NPI: 1740303239
  • Provider Name: CLEARWATER CARE CENTER, INC.
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Other Name: BITTERROOT HOME
  • Address: 1411 FALLS AVE E
    SUITE 703
    TWIN FALLS, ID
    ZIP 83301
  • Phone: (208) 734-8973

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NPI Details

CLEARWATER CARE CENTER, INC. is an intermediate care facility mental illness in Twin Falls, ID. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CLEARWATER CARE CENTER, INC. NPI is 1740303239. The provider is registered as an organization entity type.
The provider Other Name Is Bitterroot Home.

The provider's business location address is:

1411 FALLS AVE E
SUITE 703
TWIN FALLS, ID
ZIP 83301-455
Phone: (208) 734-8973
Fax: (208) 734-1075

The provider's authorized official is Rene Stephens .
The authorized official title is Administrator and has the following contact phone number (208) 734-8973.

The enumeration date for this NPI number is 4/9/2007 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
1310500000XIntermediate Care Facility, Mental IllnessIDAHOYes

What is NPI?

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This page was last updated on: 11/21/2025

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