LACROSSE HEALTH- COEUR D'ALENE, LLC (NPI# 1003982927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003982927 |
| Entity Type | Organization |
| Organization Name | LACROSSE HEALTH- COEUR D'ALENE, LLC |
| Other Organization Name | LACROSSE HEALTH & REHABILITATION CENTER |
| Practice Address |
210 W Lacrosse Ave Coeur D Alene ID 83814-2403 |
| Mailing Address |
210 West Lacrosse Avenue Coeur D'alene ID 83814-2403 |
| Practice Telephone | 2086642185 |
| Practice Fax Number | 2086641604 |
| Mailing Telephone | 2086642185 |
| Mailing Fax Number | 2086641604 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2017-08-17 |
| Authorized Official Name | MR. DOV E. JACOBS (MANAGER) |
| Authorized Official Telephone | 3236784426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 000283700 | 05 |
| Other Name | Type Code |
|---|---|
| LaCrosse Health & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
210 W LACROSSE AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992218218 | Lacrosse Health-coeur Dalene LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2017-11-08 |
| 1992166870 | Stephanie Lynn Thorne | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2016-03-18 |
| 1811385974 | Fmg West Lacrosse Avenue Idaho LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-12-24 |
| 1609272012 | Travis Pool | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-11-12 |
| 1407261332 | Jimmy Louis Burkhard | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-06-30 |
| 1396167193 | Sharon Bartlett | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-01-13 |
| 1609207513 | Lee Freshour | Speech-Language Pathologist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-12-02 |
| 1407285174 | Cheryl Davee | Physical Therapist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-11-04 |
| 1942638903 | Frances Geckle | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-10-29 |
| 1538597695 | Justine Thomas | Speech-Language Pathologist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326409798 | Ahc of Coeur D Alene LLC | Skilled Nursing Facility | 1578 W Riverstone Dr, Coeur D Alene, ID 83814 | 2016-03-14 |
| 1073550489 | Pinewood Healthcare LLC | Skilled Nursing Facility | 2514 N 7th St, Coeur D Alene, ID 83814-3720 | 2006-06-02 |
| 1518470343 | Ivy Court - Coeur D'alene, LLC | Skilled Nursing Facility | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2017-11-15 |
| 1992218218 | Lacrosse Health-coeur Dalene LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2017-11-08 |
| 1487197299 | Coeur D'alene of Cascadia | Skilled Nursing Facility | 2514 N 7th St, Coeur D Alene, ID 83814-3720 | 2016-11-28 |
| 1811385974 | Fmg West Lacrosse Avenue Idaho LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-12-24 |
| 1780757427 | Ivy Court - Coeur D'alene, LLC | Skilled Nursing Facility | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2006-11-17 |
| 1366495277 | Lake City Medical Investors, LLC | Skilled Nursing Facility | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1497233514 | Boise Nursing and Rehab Center LLC | Skilled Nursing Facility | 1140 N Allumbaugh St, Boise, ID 83704-8716 | 2018-07-31 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1871042663 | Ahc of Lewiston, LLC | Skilled Nursing Facility | 2852 Juniper Dr, Lewiston, ID 83501-4719 | 2016-09-22 |
| 1063966638 | Boise West of Cascadia, LLC | Skilled Nursing Facility | 8211 Ustick Road, Boise, ID 83704-5756 | 2016-08-11 |
| 1861946436 | Bellevue of Cascadia, LLC | Skilled Nursing Facility | 620 N. 6th Street, Bellevue, ID 83313 | 2016-08-11 |
| 1437603008 | Twin Falls of Cascadia, LLC | Skilled Nursing Facility | 674 Eastland Drive, Twin Falls, ID 83301-6846 | 2016-08-11 |
| 1235683806 | Payette of Cascadia, LLC | Skilled Nursing Facility | 1019 3rd Avenue South, Payette, ID 83661-2832 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.