YELLOWSTONE CARE CENTER INC. NPI 1740317502

NPI Information

NPI: 1740317502
Provider Name: YELLOWSTONE CARE CENTER, INC.

Other Name: DBA YELLOWSTONE GROUP HOMES - #3

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1949 HOOPES AVE
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 542-5186
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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 1740317502. The provider is registered as an organization entity type.
The provider Other Name Is Dba Yellowstone Group Homes - #3.

The provider's business location address is:

1949 HOOPES AVE
IDAHO FALLS, ID
ZIP 83404-011
Phone: (208) 542-5186

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 2/28/2007 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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			IDAHO	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: 4/28/2024

NPI Synchronization or Removal

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