KINDRED NURSING CENTERS WEST, LLC (NPI# 1558384420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558384420 |
| Entity Type | Organization |
| Organization Name | KINDRED NURSING CENTERS WEST, LLC |
| Other Organization Name | KINDRED NURSING AND REHABILITATION - WEISER |
| Practice Address |
331 E Park St Weiser ID 83672-2053 |
| Mailing Address |
680 S 4th St Louisville KY 40202-2407 |
| Practice Telephone | 2085492416 |
| Practice Fax Number | 2085490536 |
| Mailing Telephone | 5025967301 |
| Mailing Fax Number | 5025964134 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | MS. MARILYN A WEAVER (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 18 | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 000010013425 | 01 |
| ID | BLUE CROSS OF IDAHO | 01107 | 01 |
| ID | 805218700 | 05 |
| Other Name | Type Code |
|---|---|
| Kindred Nursing and Rehabilitation - Weiser | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657083 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1880 E Van Buren St, Phoenix, AZ 85006-3742 | 2015-04-22 |
| 1053480343 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2121 Pine St, San Francisco, CA 94115-2829 | 2006-11-08 |
| 1508943283 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2006-11-01 |
| 1043303571 | Kindred Nursing Centers West, LLC | Respite Care | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2006-10-02 |
| 1033127113 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 200 N Oregon St, Dillon, MT 59725-3624 | 2006-08-04 |
| 1871501098 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1500 32nd St S, Great Falls, MT 59405-5300 | 2006-08-03 |
| 1750396248 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2006-07-31 |
| 1386659738 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 601 W Cameron Ave, Kellogg, ID 83837-2004 | 2006-07-31 |
| 1215942065 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1575 7th Ave, San Francisco, CA 94122-3704 | 2006-07-30 |
| 1891700464 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1517 E Knickerbocker Dr, Stockton, CA 95210-3119 | 2006-07-30 |
| Street Address |
331 E PARK ST |
| City | WEISER |
| State | ID |
| Zip Code | 83672-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255133 | Caren Shinayo Imada | Occupational Therapist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-15 |
| 1770062499 | Angela M Asp | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-13 |
| 1821509134 | Weiser of Cascadia, LLC | Skilled Nursing Facility | 331 E Park St, Weiser, ID 83672-2053 | 2017-10-13 |
| 1134522543 | Judy Ann Carroll | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2014-09-30 |
| 1033542196 | William David Pentecost | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1609209782 | Nerissa Marie Scott | Physical Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1235562307 | Kelly Anne Wagner | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1093147308 | Michael Lafferty | Physical Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-08 |
| 1922260850 | Carmal Suzanne Chrisman | Occupational Therapist | 331 E Park St, Weiser, ID 83672-2053 | 2008-07-01 |
| 1407018518 | Karen Rene Lockwood | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| Find all providers in zip 83672 | ||||
| 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 |
|---|---|---|---|---|
| 1821509134 | Weiser of Cascadia, LLC | Skilled Nursing Facility | 331 E Park St, Weiser, ID 83672-2053 | 2017-10-13 |
| 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 |
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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.