VERANDA AT BARBER STATION LLC (NPI# 1477016012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477016012 |
| Entity Type | Organization |
| Organization Name | VERANDA AT BARBER STATION LLC |
| Practice Address |
3266 E. Barber Valley Drive Boise ID 83712 |
| Practice Telephone | 2086161150 |
| Mailing Telephone | 2086161150 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | ASHLEY TAYLOR (PRESIDENT & CEO) |
| Authorized Official Telephone | 2088636379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
3266 E. BARBER VALLEY DRIVE |
| City | BOISE |
| State | ID |
| Zip Code | 83712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| 1508290115 | Tina Johnson | Social Worker | 190 E. Bannock, Boise, ID 83712 | 2013-08-30 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593068 | Frontier Management, LLC | Assisted Living Facility | 10250 W Smoke Ranch Dr, Boise, ID 83709-1467 | 2020-06-22 |
| 1164046413 | Grace Memory Care At State Street LLC | Assisted Living Facility | 9779 W State St, Boise, ID 83714-1638 | 2020-06-02 |
| 1356965693 | Grace At State Street LLC | Assisted Living Facility | 9995 W State St, Boise, ID 83714-1636 | 2020-06-02 |
| 1447874797 | Grace At Englefield Green LLC | Assisted Living Facility | 250 S Allumbaugh Way, Boise, ID 83709-5624 | 2020-06-02 |
| 1942848502 | The Spaulding Home LLC | Assisted Living Facility | 1709 W Spaulding St, Boise, ID 83705-4223 | 2019-12-13 |
| 1023671435 | Edgewood Castle Hills LLC | Assisted Living Facility | 5955 W Castle Dr, Boise, ID 83703-3215 | 2019-04-22 |
| 1114383577 | Edgewood Spring Creek Eagle Island LLC | Assisted Living Facility | 12426 W Explorer Dr Ste 220, Boise, ID 83713-1560 | 2016-01-14 |
| 1568843605 | Treasure Valley Senior Living, Inc. | Assisted Living Facility | 1777 S Curtis Rd, Boise, ID 83705-2708 | 2015-06-15 |
| 1083959902 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 739 E Parkcenter Blvd, Boise, ID 83706-6511 | 2012-12-04 |
| 1821366998 | Bronco Senior Services | Assisted Living Facility | 1093 S Hilton St, Boise, ID 83705-1971 | 2011-12-05 |
| Find all providers in BOISE | ||||
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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.