EMPRES AT IDAHO FALLS, LLC (NPI# 1649517806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649517806 |
| Entity Type | Organization |
| Organization Name | EMPRES AT IDAHO FALLS, LLC |
| Other Organization Name | TETON POST ACUTE CARE AND REHABILITATION |
| Practice Address |
3111 Channing Way Idaho Falls ID 83404-7534 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6729 |
| Practice Telephone | 2085290067 |
| Practice Fax Number | 2085294013 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | BRENT WEIL (CEO AND MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES IDAHO HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Teton Post Acute Care and Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EMPRES AT IDAHO FALLS, LLC | 3111 Channing Way, Idaho Falls, ID 83404-7534 |
| Street Address |
3111 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851345417 | Peak Medical of Idaho, Inc. | Skilled Nursing Facility | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2006-05-19 |
| 1417578519 | Tailer Paige Fowler | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2020-04-29 |
| 1184265035 | Shelley Mccarthy Corrigan | Physical Therapist | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-10-02 |
| 1104380146 | Aaron Ashton May | Occupational Therapist | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-01-23 |
| 1144784349 | Jamie Lyn Seeley | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-01-22 |
| 1568932838 | Megan Barela | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-11-29 |
| 1043795768 | Dawna Marie Henderson | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-09-27 |
| 1467948448 | Kara Kristin Von Burg | Speech-Language Pathologist | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-07-02 |
| 1538676234 | Shelby Ann Mason | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-01-03 |
| 1427572791 | Kassandra Noelle Stine | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2017-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1851345417 | Peak Medical of Idaho, Inc. | Skilled Nursing Facility | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2006-05-19 |
| 1366860660 | Teton Hospitalist Services, Pllc | Skilled Nursing Facility | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2014-04-03 |
| 1043264021 | Eastern Idaho Health Services, Inc. | Skilled Nursing Facility | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-05-22 |
| 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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| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.