GOODING REHAB AND LIVING CENTER (NPI# 1023096757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023096757 |
| Entity Type | Organization |
| Organization Name | GOODING REHAB AND LIVING CENTER |
| Practice Address |
1220 Montana St Gooding ID 83330-1856 |
| Practice Telephone | 2089345601 |
| Practice Fax Number | 2089348154 |
| Mailing Telephone | 2089345601 |
| Mailing Fax Number | 2089348154 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. STACY LYNN SCHOONOVER (ADMINISTRATOR) |
| Authorized Official Telephone | 2089345601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 38 | ID | Nursing & Custodial Care Facilities |
| Street Address |
1220 MONTANA ST |
| City | GOODING |
| State | ID |
| Zip Code | 83330-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306322953 | Bennett Healthcare, Inc. | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2018-07-17 |
| 1811407174 | Kacey Rindlisbacher | Physical Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2017-10-01 |
| 1154873248 | Karen Lee Petty | Occupational Therapy Assistant | 1220 Montana St, 101, Gooding, ID 83330-1856 | 2016-10-25 |
| 1619325933 | Heather Manning | Occupational Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2016-05-26 |
| 1225373939 | Lisa D Boggs | Occupational Therapist | 1220 Montana St, Gooding, ID 83330-1856 | 2012-12-06 |
| 1609110048 | Judith Marie Walburn | Physical Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2012-11-26 |
| 1831329499 | John Edgar Cochran | Speech-Language Pathologist | 1220 Montana St, Gooding, ID 83330-1856 | 2009-07-16 |
| 1720217128 | Charolais Care Vii Inc | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2009-07-07 |
| 1720258668 | Helping Hands Sanctuary of Idaho, Inc | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2008-03-06 |
| 1376728345 | Carefix Management and Consulting, Inc. | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
| 1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
| 1174535835 | Ian B Kunz | Physician Assistant | 267 N Canyon Drive, Gooding, ID 83330 | 2006-08-12 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
| 1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
| Find all providers in zip 83330 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063635696 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mental Illness | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| 1710100326 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mental Illness | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| 1740303239 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mental Illness | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-09 |
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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.